Workshop Request Form - Generation E

This field is for validation purposes and should be left unchanged.

School/organization name(Required)

First name of contact person(Required)

Last name of contact person(Required)

Contact person’s email(Required)

Contact person’s phone number

Mailing address

City/town

Province

Postal code

Number of classes participating(Required)

Number of students participating(Required)

Number of teachers participating(Required)

Teacher name (if different from contact person)

Teacher email (if different from contact person’s email)

Preferred workshop date(s) 1(Required)

Preferred workshop date(s) 2(Required)

Preferred workshop date(s) 3(Required)

Notes