|
SCHOOL: |
WORKSHOP DATE: |
| SCHOOL ADDRESS: |
SCHOOL PHONE #: |
| SCHOOL FAX #: | |
| CONTACT PERSON: |
CONTACT at HOME #: (if needed) |
1...
BEFORE RECESS! _____
: _____ TO _____ : _____
(Please allow approximately
one and a half hours per workshop - Timing is flexible to fit your school schedule)
| DIV: | TEACHERS
NAME: MRS./ MISS/ MS./ MR? |
ROOM #: |
| TYPE
OF LESSON YOUD LIKE FOR YOUR CLASS: (LESSON
& MEDIUM!) |
GRADES: | |
| # OF STUDENTS: | ||
| OPTIONAL
SUPPLY KIT? |
||
2...
AFTER RECESS! _____
: _____ TO _____ : _____
(Please allow approximately
one and a half hours per workshop - Timing is flexible to fit your school schedule)
| DIV: | TEACHERS
NAME: MRS./ MISS/ MS./ MR? |
ROOM #: |
| TYPE
OF LESSON YOUD LIKE FOR YOUR CLASS: (LESSON
& MEDIUM!) |
GRADES: | |
| # OF STUDENTS: | ||
| OPTIONAL
SUPPLY KIT? |
||
3...
AFTER LUNCH! _____
: _____ TO _____ : _____
(Please allow approximately
one and a half hours per workshop - Timing is flexible to fit your school schedule)
| DIV: | TEACHERS
NAME: MRS./ MISS/ MS./ MR? |
ROOM #: |
| TYPE
OF LESSON YOUD LIKE FOR YOUR CLASS: (LESSON
& MEDIUM!) |
GRADES: | |
| # OF STUDENTS: | ||
| OPTIONAL
SUPPLY KIT? |
||