Save Your Vision Month
Sign up to have your class join an optometrist on a Q&A call. Once submitted, Realeyes will email a confirmation with Zoom information and will ship materials to your school. Please make sure school shipping address is accurate.
Which Zoom(s) would you like to join?
Thursday, March 6 - 2:00-2:30 - Dr. Jeff Walline
Friday, March 7 - 9:30-10:00 - Dr. Rachel LeFebvre
Friday, March 7 - 1:00-1:30 - Dr. Zach Leach
Friday, March 7 - 1:30-2:00 - Dr. Taylor Babcock
Monday, March 10 - 9:00-9:30 - Dr. Natalie Nguyen
Monday, March 10 - 10:00-10:30 - Dr. San-San Cooley
Monday, March 10 - 10:30-11:00 - Dr. Deborah Stein
Monday, March 10 - 1:30-2:00 - Dr. Taylor Wrubel
Tuesday, March 11 - 1:30-2:00 - Dr. Natalie Nguyen
Wednesday, March 12 - 8:30-9:00 - Dr. Tom Nye
Wednesday, March 12 - 12:30-1:00 - Dr. Zach Leach
School Name:
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County:
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Adams
Allen
Ashland
Ashtabula
Athens
Auglaize
Belmont
Brown
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Darke
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Delaware
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Fairfield
Fayette
Franklin
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Gallia
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Guernsey
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Hardin
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Henry
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Holmes
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Knox
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Lucas
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Medina
Meigs
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Miami
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Morgan
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Muskingum
Noble
Ottawa
Paulding
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Pickaway
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Preble
Putnam
Richland
Ross
Sandusky
Scioto
Seneca
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Stark
Summit
Trumbull
Tuscarawas
Union
Van Wert
Vinton
Warren
Washington
Wayne
Williams
Wood
Wyandot
Address
*
Street Address
Street Address Line 2
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Name
*
First Name
Last Name
Email
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example@example.com
Tell us about your students
You may submit this single form for multiple grades and classes. Please indicate below:
I'm signing up the following grades with this form:
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First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
High school
# of FIRST graders
# of SECOND graders
# of THIRD graders
# of FOURTH graders
# of FIFTH graders
# of SIXTH graders
# of SEVENTH graders
# of EIGHTH graders
# of HIGH SCHOOL STUDENTS
Additional Information or Notes
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