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Water-Wise Workshops Request Form

Request Form for Water-Wise Workshops
We are able to provide one lesson to multiple classes in one school day.
Please select the Monday of your requested week. Please give at least 1 week advance notice.
Grade Level
Only one grade per request.
Number of Classes Participating
1st Program: Start Time
:
1st Program: End Time
:
2nd Program: Start Time
:
2nd Program: End Time
:
3rd Program: Start Time
:
3rd Program: End Time
:
4th Program: Start Time
:
4th Program: End Time
:
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.