Fall Assembly Program Registration

 

 

 

Science Discovery (K-6) ~ Monday-Friday, November 10-14

 

(REGISTRATION DEADLINE: Friday, October 10, 2003)

 

 

School:______________________________________ Contact person: ________________________________

Phone:_________________________ Fax:_______________________ E-mail:__________________________

 

Circle desired assembly program(s) below (you can choose more than one):

A. Animal Tales (Pre-school & Gr. 1)

B. Back to Bones (K-6)

 

Circle all of the dates that work for your school:

Monday, Nov. 10 Tuesday, Nov. 11 Wednesday, Nov. 12 Thursday, Nov. 13 Friday, Nov. 14

Circle the time(s) of day that work for your school:

 

____ Morning 8:30 11:30 am ____ Afternoon 12:30 3:00 pm

 

 

State preferred times, grades, and numbers of students attending the assemblies. Circle the letter of the assembly (A, B) requested for each time/age group of students:

 

1)      Times _________________________ Grades Attending: ____________Number of students: ______ A B

2)      Times _________________________ Grades Attending: ____________Number of students: ______ A B

3)      Times _________________________ Grades Attending: ____________Number of students: ______ A B

4)      Times _________________________ Grades Attending: ____________Number of students: ______ A B

5)      Times _________________________ Grades Attending: ____________Number of students: ______ A B

6)      Times _________________________ Grades Attending: ____________Number of students: ______ A B

 

LOCATION(s) of the assembly programs at your school: _______________________________

_____________________________________________________________________________________________

 

TOTAL AMOUNT DUE: _______ ($250 per half-day for up to 3 assemblies back-to-back)

 

SEND YOUR REGISTRATION FORM BY FRIDAY, OCTOBER 10, 2003 to:

 

Joan Chadde

Western Upper Peninsula Center for Science, Mathematics and Environmental Education

105 Dillman Hall, Michigan Technological University

1400 Townsend Dr., Houghton, MI 49931-1295

Fax: 906-487-1620 Email: jchadde@mtu.edu Tel: 906-487-3341