When are all the dates available that you can come (9/4-11/1; Tuesday-Friday)? Please put them in the order of preference. ~ OR ~ If it is easier please write all the days that you CAN'T come and indicate that below. *
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Contact Person Name *
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Contact Person Email Address *
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Contact Person Phone Number
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What is your school name & full mailing address?
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Our typical program times are 9:30 pm-1:30 pm. If you require alternative timing please indicate that here.
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Additional notes or comments?
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A copy of your responses will be emailed to the address you provided.