|
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