Site Visit Request

Site Visit Request

Please complete this form with the details of your event.
I am Interested in participating in:
Group Name
Direct Contact

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Has your group visited the SMART Center Before?
Reservation Date:
Number or Participants
Number of Chaperones (1 Chaperone per 5 Children)
Please indicate the applicable groups of the participants (You may select multiple groups)
Would you like your visit to be inclusive of activities within the Virtual Reality Headsets?
***Please note that ALL participants MUST have a Signed agreement form to participate (Users under 18 must be signed by a parent or guardian) The requested form can be downloaded here***
Which Lab Space Would You Like to Reserve for Your Appointment:
***Please note that ALL participants upon arrival MUST Sign in to complete the required agreement form ***
Please tell us about your site visit focus
I hereby grant The Tennessee State University Smart Innovation Technology Center and its representatives the right to take photographs and/or video recordings of me and the members of my group during our scheduled visit to use, publish, and distribute these materials in print and digital formats for lawful purposes, including marketing, advertising, publicity, and research documentation. By booking on behalf of a group, I acknowledge that it is my responsibility to inform all participants of this release.
Should be Empty: