BR Class Registration 2018/19
Email address *
Teacher Name *
Your answer
Have you participated in BR before? *
Who is your BR Educator? *
Your answer
What is the name of your school? *
Your answer
What town/city is your school located in? *
Your answer
What region is your school in? *
What grade(s) is your class? *
Your answer
Total number of students in your class *
Your answer
The following information is requested by one of our funders - NSERC. Number of girls *
Your answer
Number of boys *
Your answer
Number of Aboriginal youth *
Your answer
Number of youth from low-income families *
Your answer
Number of youth with disabilities *
Your answer
Number of youth that are visible minorities *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Wildsight.