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2. First Name*
3. Last Name*
5. School*
   -- Select One --Alice Birney ElementaryCooley Ranch ElementaryGrant ElementaryAbraham Lincoln ElementaryWilliam McKinley ElementaryReche Canyon ElementaryPaul Rogers ElementarySal Salvador ElementaryColton MiddleColton HighWashington High

   Please select your school.
6. Class Size
   Please indicate roughly how many students are in your class.
8. E-mail Address*
   Please provide a complete e-mail address.
9. Phone Number
   Please provide a phone number.
11. Audience
    Please enter the grade(s), or age group the presentation will be for.
12. Subject Taught*

    1. Math
    2. Science
    3. English/Reading

    1. History
    2. Art
    3. Other

    Please indicate which subject you teach (select all that apply).
14. The following programs may be requested

    1. Project WET

    1. Waves, Wetlands, and Watersheds

    Please select which program you would like the presentation to focus on.
16. Additional Comments
    Please include any additional details or comments regarding this classroom presentation request.
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18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field