Kit & Resource Request Form

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Name* This field is required.
First Name
Last Name
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Email* This field is required.
example@example.com
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Choose Your School* This field is required.
Bostian Elementary
Erwin Middle
Overton Elementary
China Grove Elementary
China Grove Middle
Corriher-Lipe Middle
East Rowan High
Koontz Elementary
Shive Elementary
Granite Quarry Elementary
Isenberg Elementary
Hanford-Dole Elementary
Hurley Elementary
Carson High
Knollwood Elementary
Landis Elementary
Millbridge Elementary
Morgan Elementary
Mt Ulla Elementary
North Rowan Elementary
North Rowan High
North Rowan Middle
Rockwell Elementary
Rowan Co Early College
Salisbury High
Southeast Middle
South Rowan High
West Rowan Elementary
West Rowan High
West Rowan Middle
Summit Virtual K-8
Other
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Kit Requested* This field is required.Choose one. Complete the form additional times for multiple different kits.
Kindergarten - Same & Different
1st Grade - Forces and Motion
2nd Grade - Sound
3rd Grade - Pocket Solar System Mini Kit
3rd Grade - Skeletal Spectacular
3rd Grade - Chicken Wing Dissection (Wings not supplied)
4th Grade - Animal Adaptations
4th Grade - Rocks & Minerals
4th Grade - Settler's Steps (Social Studies)
5th Grade - Body Systems
5th Grade - American Revolution: Choose Your Adventure Literacy & Social Studies Integration
6th Grade - World Geography (Social Studies)
6th Grade - World Religion (Social Studies)
7th Grade - Medieval Era: Choose Your Adventure Literacy & Social Studies
8th Grade - US Geography (Social Studies)
8th Grade - World War II: Choose Your Adventure Literacy & Social Studies
Other
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Need anything else?Request these materials on the next page.
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Other Materials Requested* This field is required.Type "none" if you are not requesting anything else. We do not provide consumables outside of kit materials.
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When would you like your kit or materials?* This field is required.Date requests will be honored in the order they are received. Kits will be available on the arranged date. Teachers are responsible for pick up from Horizons Unlimited. Horizons staff will be glad to pick up on the day kits are due. They are due back 2 weeks after this date.
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Month
Day
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Minutes
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PM
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Return Date
Date
Year
Month
Day
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Hour
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Minutes
PM
AM
PM
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How is the kit being returned?
Teacher will drop off at HU
Kelly H. is picking up
Jessica is picking up
Em is picking up
Kelly C. is picking up
Spring is picking up
Jason is picking up
10
Date Kit was Returned to HU
Date
Year
Month
Day
11
Kit Condition
Everything was returned. Kit was neat.
Everything was returned. Kit was a wreck.
Kit was neat but missing items.
Kit was a wreck and missing items.
Should be Empty: