Dr. Yum Project Curriculum Kit Order Form
Use this form to begin the process of ordering the Dr. Yum Preschool Food Adventure. Please note that after payment you will be sent a link to a training video. Each teacher who takes the test will be issued a training certificate and must sign our terms and conditions which can be downloaded from doctoryum.org. Once at least one teacher passes the quiz, our team will send out your curriculum and links to more materials online.
Please note if you would like to pay by check, please email us at info@doctoryum.org.
Email address *
First and Last Name of Primary Contact *
Your answer
Phone number of Primary Contact person *
Your answer
Name of your school *
Your answer
Your School's website
Your answer
Address of your school *
Your answer
First and Last Name of Secondary Contact *
Your answer
Email of Secondary Contact *
Your answer
Number of Curriculum Kits needed *
Your answer
Total Number of Students who will be using the curriculum (estimate) *
Your answer
Number of Classrooms in which you plan to use the curriculum *
Your answer
Payment- Please indicated how you will be paying for your curriculum kit ($485 per kit plus applicable tax and shipping). *
Required
How did you hear about our curriculum?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of The Doctor Yum Project. Report Abuse - Terms of Service