Superstar Health Education Workshop Quote Request Form for SY 23/24
Thank you for your interest in Superstar Health Education! We are committed to medically accurate, age-appropriate, shame-free, comprehensive puberty and sexuality education. Grounded in our anti-oppression philosophy, our work encourages people to make informed decisions about caring for their bodies.

As you choose ideal dates, you can consult our calendar to check our availability.

This form is short - we ask for just enough information to give you a quote. If we move forward, we'll provide a second form which asks for more detail. If you're a returning client and would like to fill out that second form immediately, you'll see a link to it after you submit this one.
Sign in to Google to save your progress. Learn more
Your Name *
Your Title
Your Phone Number *
Your Email Address *
Name of your School or Organization *
School or Organization Website *
If you don't have one you can write 'None' or 'N/A'. 
Type of Workshop Requested *
SHE offers gender-inclusive, fun, body-positive Puberty Education for elementary school students as either a four day (four hour) program or a five day (five hour) program - the five day program adds a lesson focused on anti-bullying and anti-oppression. 

Our comprehensive Inclusive Health Education program is five hours and is designed for Middle or High School students. It covers anatomy, consent, gender and orientation, abstinence, safe sex, STIs, birth control, and healthy relationships. 

We also offer workshops for Special Education students, professional development workshops for staff and other adult learners, and custom workshops of all types.

We have staff fluent in Spanish, Cantonese, Mandarin, and French, and can work with you to meet the language needs of your students.

Please check the type of workshops you are interested in:
Required
Please give us some information about the number of groups of students who need the workshops at each grade level.
The number of class groups that we teach, along with a number of other factors, determines the size of the contract. If your school has non-traditional grade structures, you can add more info in the next question.
One Group of Students
Two Groups
Three Groups
Four or More Groups
K-3
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Number of Students and Other Details *
Please write out some details about the needs expressed above. Please include info like the average number of students in the classes, if your school has any combined grades or language needs, if there is any uncertainty about how many groups we might be teaching, or anything else that didn't fit in the grid above. 

Please note: if you have a high enough number of monolingual students that the classes must be taught in Spanish, Cantonese, or Mandarin, note that here! Superstar can offer classes taught in those languages but it changes our staff scheduling.
First Choice for Dates (please list the Monday date of the week of programming) *
As you choose ideal dates, you can consult our calendar to check our availability. Look for weeks marked "Educators Available"!
MM
/
DD
/
YYYY
Second Choice for Dates *
MM
/
DD
/
YYYY
Third Choice for Dates *
MM
/
DD
/
YYYY
Anything you would like to tell us about your date choices?
For instance: your level of flexibility, your reasoning in picking certain weeks, previous communication with Superstar about the best date, etc.
Who should do the Handbook/Handout Printing? *
SHE's workshops use booklets (for puberty) or sets of handouts (for comprehensive sex ed) for the students. If you would like to print these materials and have them ready for us, we can send you the files electronically. If you would prefer we print and bring them, there will be a $5 printing charge per student, which we can add to our invoice. Please indicate which is best below.
If Superstar will be printing, what is the approximate number of students in each grade who will need handbooks or materials? *
If you are printing, please write "None" or "N/A". 

If some of the materials should be in Spanish, please let us know here; we have a translated version of our Puberty Handbook available and can bring some copies of that version as well as the English versions.
Would you like a Parent Education Workshop? *
This sixty to ninety minute workshop will introduce parents to the curriculum Superstar will present in the classroom. It will also impart the skills they will need to talk to their child about health, bodies, puberty, and sexuality. The workshops help build buy-in from your families and ensure that students are supported at home in their learning on these topics.

We can present this workshop (in person or via Zoom) on a weekday evening or morning one to three weeks before the planned classes, for an additional fee. We can discuss the timing of the workshop via email.

If so, is there a particular time and day of the week that is best to hold it? 
For instance, some schools know that later in the evenings is best for their parents; other schools prefer mornings, or a day of the week that they tend to hold parent events.

Once the date of the classes is nailed down, we will suggest an exact date for the Parent Education Workshop.
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms