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Water Explorers Request Form

Request Form for Water Explorers
Please select the Monday of your requested week. Please give at least 2 weeks advance notice.
Grade Level
Only one grade per request.
Number of Classes Participating
School Address
School Address
Street Number and Name
Additional Information
City
State/Province
Zip/Postal
School, teacher or administrator only.
Personal or work, whichever is best to reach you.
In case of questions on the day of the presentation.
Different teacher or administrator - in case of difficulty reaching the primary contact.
Laptop/Projector: Do you have a laptop and projector available for our use? These are not needed but if available, we can add visuals.

Requested Schedule

Please fill out the scheduling chart below according to the example provided. All lessons are 45 minutes. Please provide 5-10 minutes between lessons for resetting supplies and a 30 minute lunch break if more than 3 classes are requested.
(We require a minimum of  50 students.)

Requested Schedule