BrainReach - School Registration Form (2018-19)
Thank you for registering your school for BrainReach neuroscience workshops! This form is due September 20th, 2018.

BrainReach workshops begin in October/November 2018. All workshops are prepared for Grade 4 or Grade 9.
If you have any questions or comments, please do not hesitate to contact us!

GENERAL INFORMATION
School name *
Your answer
School address *
Your answer
School phone number *
Your answer
School principal *
Your answer
Name of contact person for BrainReach workshops *
Your answer
Phone number of contact person *
Your answer
Email address of contact person *
(Please provide an email address that you use most often)
Your answer
Role of contact person *
(Principal, teacher, science consultant, etc)
Your answer
Are you registering a Grade 4 or Grade 9 class? *
Please note: BrainReach is designed for these 2 Grades. There are a total of 8 workshops in Grade 4 and 6 workshops in Grade 9.
Which method of contact will be the best for the volunteer to contact you to schedule workshops? *
How many years have you been receiving BrainReach workshops? *
Required
INFORMATION FOR WORKSHOPS
In which room will the presentations be given? *
Do you have a computer in the room where presentations will be given? *
Do you have a projector and screen in the room where presentations will be given? *
Does your school have access to a microscope that could be used for one of the presentations? *
If you participated with BrainReach last year and you would like the same volunteer(s) to do the workshops again this year, please indicate their name(s) here.
Your answer
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