Virtual Program Registration: ECHO Education 2021/2022

Virtual Program: Texas History Alive Registration Form

2021/2022 Season
Thank you for registering for the Virtual Texas History Alive program in the upcoming 2021/2022 school year! Please complete the form below and we will hold the dates you provide. Confirmation of your program date along with program materials will be sent to you towards the end of summer 2021.

Please Note: Registration is free of charge; the deposit for your program will be due 90 days prior to the program date.

Thank you,

ECHO Education Management
SCHOOL INFORMATION
School *
School Phone *
School District *
Grade Level *
School Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Number of Classes in Grade Level *
Contact/Lead Teacher *

First Name Last Name
Contact/Lead Teacher Email *
example@example.com
Contact/Lead Teacher Cell Phone Number *
Names of All Other Participating Teachers *
Name of Administrator *

First Name Last Name
Have you contracted with ECHO Education in previous seasons? *

Yes- we are a returning school No- this is our first year partnering with ECHO Education
PARTICIPANT INFORMATION
- PLEASE NOTE: ECHO Education requires one (1) adult (Teacher and/or Administrator) per classroom for the Distance-Learning program options.
- There is a minimum of three (3) participating classrooms required to register for a progam.
- We understand participant numbers will not be exact, but rather an estimate at this time. We will adjust numbers at the top of the 2021/2022 season.
Number of Teachers *
Number of Students *
Number of Administrators *
PROGRAM SELECTION
Distance-Learning Program Choice *

"Texas History Alive"
Please Note:
- Full program logistics, including program fee information, are availble by viewing our 2021/2022 Programs Guide (available on our website and/or by requesting a copy via email)
- Deposit will be due 90 business days prior to program date. Deposit is 25% of total program cost. Remaining program balance is due in full 30 business days prior to program date.
- Payment schedule flexibility is extended to schools who register for a program date in September, October and November 2021.
- ECHO Education waves the program fees for ALL participing Teachers and Administrators for Distance-Learning Programs.
- Program Fee: $25/student
PROGRAM DATE PREFERENCE
For dates to be considered, you must choose three different dates. Thank you!
1st Program Date Preference *

Month Day Year
Date
2nd Program Date Preference *

Month Day Year
Date
3rd Program Date Preference *

Month Day Year
Date
How did you hear about ECHO Education?
Thank you for choosing ECHO Education! We look forward to serving you and your students in the coming season!

-ECHO Education
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Virtual Program: Texas History Alive Registration Form