WUD Pilot Project Theater Class
Educational Organization
Select the kind of educational organization you represent.
Participant
What kind of participant are you?
Address
Pleas provide the address of the location where the video class will be held.
Your answer
Primary Contact
Who will communicate with World Upside Down to coordinate details regarding participation in the pilot program?
Your answer
Phone Number
What is the phone number of primary contact?
Your answer
Email
What is the email of primary contact?
Your answer
Participation Date
When can you or your students participate in the theater class?
MM
/
DD
/
YYYY
Time
:
Student Grades
Please list the grades of student participants.
Your answer
Site Visit
We cannot promise a site visit, but please let us know if you would be intereseted in having one.
Class Materials
Considering the physical space and technology at your location, let us know what you need to project the class.
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