School Workshops Request

School/Organization Name*

Address*

Teacher Name*

Teachers/Supervisors are expected to remain in the room during the entire length of the workshop

Teacher Email*

Teacher Phone Number*

Wifi Log-in Details (username, password)*

Please provide wifi information or we will not be able to proceed with your booking.

# of Students (total)*

The maximum number of students we can accommodate per workshop is 30

# of Male Students*

This information is only recorded for reporting purposes, and does not affect the delivery of our workshops.

# of Female Students*

This information is only recorded for reporting purposes, and does not affect the delivery of our workshops.

# of Non-Binary Students*

This information is only recorded for reporting purposes, and does not affect the delivery of our workshops.

# of Students who prefer not to specify*

This information is only recorded for reporting purposes, and does not affect the delivery of our workshops.

What is your class schedule? Must include lunch, recess and break times.*

Example: Period 1 – 9:00am-11:00am Lunch – 11:00am-11:45am Recess – 11:45am-12:30pm Period 2 – 12:30pm-2:30pm

Workshop Name*

Comments

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Elementary Workshop Request