Presentation Schedule

Presentation Schedule

Please fill out the form for your school.
District Name
School Name For Presentations
Type of Presentations*
Address (If having lives stream or online video modules leave blank)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Presentation(s) (For In Person or Live Stream only)*

MonthDayYear
Date
School Contact Name *

First NameLast Name
School Contact Title *
Emergency Contact Number*

Area CodePhone Number
Email*
example@example.com
Presentation location*
Presentation Times

30-minutes for Elementary School

Typically one class period for Middle School
Presentation 1 (Grade(s) Attending)
Start Time

:HourMinutesAM/PM Option
End Time

:HourMinutesAM/PM Option
End Time

:HourMinutesAM/PM Option
Presentation 2 (Grade(s) Attending)
Start Time

:HourMinutesAM/PM Option
End Time

:HourMinutesAM/PM Option
End Time

:HourMinutesAM/PM Option
Presentation 3 (Grade(s) Attending)
Start Time

:HourMinutesAM/PM Option
End Time

:HourMinutesAM/PM Option
End Time

:HourMinutesAM/PM Option
Presentation 4 (Grade(s) Attending)
Start Time

:HourMinutesAM/PM Option
End Time

:HourMinutesAM/PM Option
End Time

:HourMinutesAM/PM Option
Presentation 5 (Grade(s) Attending)
Start Time

:HourMinutesAM/PM Option
End Time

:HourMinutesAM/PM Option
End Time

:HourMinutesAM/PM Option
There is a fee associated with a 6th presentation. Please ask your district before adding it. Thank you.
*SPECIAL CIRCUMSTANCES ONLY - Presentation 6 (Grade(s) Attending)
Time

:HourMinutesAM/PM Option
End Time

:HourMinutesAM/PM Option
Comments/?'s