Classroom and other child-focused presentations

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Classroom and other child-focused presentationsChris Aynesworth2019-03-18T12:02:26-07:00

Date(s) and times requested
Alternate date(s) and times
School name
School address
Street Address Address Line 2 City ZIP / Postal Code
Contact name
Email
Phone
Grade level(s)
Number of students per classroom
Will you be able to provide two individuals to assist?
- Yes
- No
Will you have at least four tables for our displays?
- Yes
- No
Has your classroom previously had a curriculum on insects and/or bees?
- Yes
- No
Does MDBA have permission to take photos at this event that may include children for use on our website and in our newsletters?
- Yes
- No
What knowledge do your students/children have about bees?
What science standards, if any, do you want us to address?
Please tell us additional helpful information about yourself and your class
I will pay the $50 fee (per classroom presentation) by
- Check or Cash
- PayPal
I would like an
- Invoice
- Receipt upon payment
- W9
- Certificate of Insurance
- None of the above
Name and address of certificate holder
Please note any questions here
Note: Because of all the materials we bring, please indicate where there is parking located adjacent to the classroom. Please provide directions.
Name
This field is for validation purposes and should be left unchanged.

PO Box 4688 Walnut Creek, CA 94596