Simulation Resource Request Form
This form must be completed for each request of use of Equipment, Funds, or Development Assistance from the Pediatric Simulation Center. This helps us organize and prioritize requests. Please contact us at firstname.lastname@example.org with any questions. We look forward to working with you to develop your simulation projects.
Please provide some information about your event participants:
Please let us know what resources you would like to request:
Note that we do not control booking for the STAR Center resources. Supplying that information here helps us have an understanding of the scope and plan for your event. We can help work with you to reserve STAR Center resources or you can contact them directly at (414) 456-4646 or email@example.com.