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- Available

Please fill in the following fields to complete your program request.

Book us to come do one presentation, or for every grade in your school! We can book as many as 4 classroom programs per day! Up to two educators will visit your school, each facilitating one program per block. We only come to one school per day, so we are very excited to fill as many classrooms in your school with the Wonders of Water!

All teachers who are registered will receive a confirmation e-mail.


Contact Information

Primary Teacher Contact Name (required):

Contact Phone Number (required):

Contact Email (required):

School (required):

School Phone (required):

School Address (required):

School Board (required):

School Start Time (required):

WOW Program Start Time (required):

Block 1, Session 1

Block 1, Session 1 Grade (required):

For split Grades, please select the grade with the majority of students and indicate the other grade in the notes section of this form.

Block 1 Session 1 Total Number of Students (required):

Block 1 Session 1 Teacher Name (required):

Block 1 Session 1 Teacher email (required):

Class first names (for nametags/culminating activity) (required):

Do you have outdoor space available? If yes, describe:

Special needs / Accommodations / Comments?:

To ensure our educators can meet the needs of your students to the best of our abilities please share any special needs, accommodations or comments that might be helpful.

Block 1, Session 2

Block 1, Session 2 Grade (required):

For split Grades, please select the grade with the majority of students and indicate the other grade in the notes section of this form.

Block 1 Session 2 Total Number of Students (required):

Block 1 Session 2 Teacher Name (required):

Block 1 Session 2 Teacher email (required):

Class first names (for nametags/culminating activity) (required):

Do you have outdoor space available? If yes, describe:

Special needs / Accommodations / Comments?:

To ensure our educators can meet the needs of your students to the best of our abilities please share any special needs, accommodations or comments that might be helpful.

Block 2, Session 1

Block 2, Session 1 Grade (required):

For split Grades, please select the grade with the majority of students and indicate the other grade in the notes section of this form.

Block 2 Session 1 Total Number of Students (required):

Block 2 Session 1 Teacher Name (required):

Block 2 Session 1 Teacher email (required):

Class first names (for nametags/culminating activity) (required):

Do you have outdoor space available? If yes, describe:

Special needs / Accommodations / Comments?:

To ensure our educators can meet the needs of your students to the best of our abilities please share any special needs, accommodations or comments that might be helpful.

Block 2, Session 2

Block 2, Session 2 Grade (required):

For split Grades, please select the grade with the majority of students and indicate the other grade in the notes section of this form.

Block 2 Session 2 Total Number of Students (required):

Block 2 Session 2 Teacher Name (required):

Block 2 Session 2 Teacher email (required):

Class first names (for nametags/culminating activity) (required):

Do you have outdoor space available? If yes, describe:

Special needs / Accommodations / Comments?:

To ensure our educators can meet the needs of your students to the best of our abilities please share any special needs, accommodations or comments that might be helpful.

How did you find out about our programs?:

Please check the box below to subscribe and receive information on future Education programs offered by GreenUp. You will be able to unsubscribe at any time by using the link at the bottom of every email.

 

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