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


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

Contact Information

Select Your School (if not listed, select other)*:

If other, please write in school name:

School Board*:

If other, please write in school board name:

Primary Teacher Contact Name*:

Contact Phone Number*:

Contact Email*:

School Phone Number*:

School Start Time*:

Block 1, Class 1

Block 1, Class 1 Grade*:

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 Class 1 Total Number of Students*:

Block 1 Class 1 Teacher Name*:

Block 1 Class 1 Teacher email*:

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.

Special needs / Accommodations / Comments?:


Book with a Buddy! Spread the WOW around! Book us to visit your entire instructional team, division or school! Ideally we will have 2 or 4 classes booked per day in order to make best use of our instructors.

Block 1, Class 2

Block 1, Class 2 Grade:

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 Class 2 Total Number of Students:

Block 1 Class 2 Teacher Name:

Block 1 Class 2 Teacher email:

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.

Special needs / Accommodations / Comments?:

Block 2, Class 1

Block 2, Class 1 Grade:

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 Class 1 Total Number of Students:

Block 2 Class 1 Teacher Name:

Block 2 Class 1 Teacher email:

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.

Special needs / Accommodations / Comments?:

Block 2, Class 2

Block 2, Class 2 Grade:

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 Class 2 Total Number of Students:

Block 2 Class 2 Teacher Name:

Block 2 Class 2 Teacher email:

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.

Special needs / Accommodations / Comments?:

How did you find out about our programs?:

If other, please let us know:

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