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Name of School:
Contact Person's Name:
Contact Person's Phone:
Contact Person's E-mail:
School's Address

Date
Time
1st Choice:
2nd Choice:
3rd Choice:
If your school has multiple 4th grade classrooms, there are 3 options (please check one):

Presentations are done all at the same time, but in separate classrooms
Presentations are done all on the same day, but back-to-back
Presentations are done on separate days

Presentation Type:
Traditional presentation
Power Point presentation

NOTE: School must provide the necessary equipment.

 
Teacher(s) Name: Number of Students:

Questions/Comments/Additional Information:

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