JA BizTown Trades Enrollment Form

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JA Trades Enrollment Form
School Name:*
School District:*
School Address*
City, State, Zip (need all 3):*
School Phone:*
Coordinator Name:*
Coordinator Email:*
Coordinator Position*
Coordinator Cell Phone #
Principal Name:*
Principal Email:*
Select Class Grade Level(s):*
Preferred Month *
Total Number of Students Enrolling*
SIMULATION INFORMATION

NOTE: Simulations last approximately 3.5 hours based upon enrollment counts.
Over 60 students - Time on Site = Approximately 3.5 HoursUnder 60 students - Time on Site = Approximately 3 Hours
First Choice Simulation Date

MonthDayYear
Date
2nd Choice Simulation Date

MonthDayYear
Date
Arrival Time
Additional Comments:
For additional comments or questions, please reach out to Sue Beers-Anthes (sbeersanthes@jastl.org) or Courtney Zenk (czenk@jastl.org)
Should be Empty:

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