Workshop Request Form
Thank you for considering a Bricks 4 Kidz Knoxville Workshop or Field Trip for your class.
How did you hear about us?
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Google
Facebook
Yelp
Friend
Other
School/Teacher Information
School
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Address (Street, City, State)
ZIP Code
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Teacher/Coordinator Name
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First Name
Last Name
Contact E-mail Address
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Phone Number
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Area Code
Phone Number
Best ways for us to follow-up with you
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I'm great about checking my email!
I'm responsive to texts!
I'm able to take phone calls during business hours!
Other
Date Requested
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Month
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Day
Year
Date
Date Requested
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Month
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Day
Year
Date
Date Requested
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Month
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Day
Year
Date
Start Time Requested
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Hour
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10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Group Size / Workshop Type
Grade Levels Applicable (select all that apply)
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Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Other
Total Number of students expected to participate
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Total Number of chaperones expected to attend
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Workshop Location (if other please enter location name)
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at Bricks 4 Kidz
Other
If located at Bricks 4 Kidz, what method of arrival is expected?
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Bus
Parent drop off
Vans
N/A
Other
Type of Event
Academic Field Trip (STEAM Story-Lesson, Technic Build, Creative Activity)
STEAM Activities Workshop (Multiple Station Rotation)
STEAM Activities Reward Party (Multiple Station Rotation)
Unsure
Mini-Fig Factory Add-On
*
Please Select
MINI-FIG Factory Add-On (+ $5 per child)
No Thanks
Not sure yet?
Does anyone in your group need additional accommodations? If so, please list here.
Additional Information for consideration.
Submit
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