Registration for November 2021 PD
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Name *
E-Mail Address *
School Where You Teach *
School District *
Are you fully vaccinated against COVID-19? *
If you are not fully vaccinated, please explain your circumstances.
Request for Supplies  
Number of Classes
Indicate the number of classes where you plan to teach this hands-on activity.
Total number of students in the classes where you plan to teach this hands-on activity
Number of students in the largest class where you plan to teach this hands-on activity
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