BrainReach - School Registration Form (2019-20)
Thank you for registering your school for our BrainReach neuroscience workshops! Please note that due to the large amount of interest in our program, we cannot guarantee we will find a volunteer to come to your school - however, we will do our best to try to find a volunteer for each school.


We will contact you later in the month of October to confirm your registration. BrainReach workshops begin in October/November 2019. All workshops are prepared for grade 4 or grade 9.

If you have any questions or comments, please do not hesitate to contact us!

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? *
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
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service