2018 Presidential Primary Sources Project Teacher Registration Form
Instructions:
Please register for specific program sessions using the form below. The first 10 classrooms to register for a session and successfully complete a video test will be permitted to be an interactive site. Our program team will be in touch to test your classroom's videoconference connection in advance of each program session date.

PLEASE NOTE: In order for a classroom to participate as an interactive site, videoconferencing testing must be completed 48 hours in advance of the program.

**Registration is only necessary for those wishing to participate in the live interactive video session. The presentations will be available for live streaming or archived viewing on YouTube with no registration necessary.**

Additional program info can be found here: www.internet2.edu/ppsp

Teacher Name *
First, Last
Your answer
Teacher Email *
Your answer
School Name *
Your answer
City & State *
Your answer
Country
Your answer
Technical Contact Name *
Primary contact for testing the videoconferencing connection at your school
Your answer
Technical Contact Email *
Your answer
Technical Contact Phone *
Your answer
Prefered time(s) to reach the technical contact via phone
When is the best time for our technical team to get in touch?
Your answer
What is your Time Zone?
Consent to Participate *
It should be noted that participants in this conference may be video taped, audio taped, streamed, broadcast and archived as part off the Presidential Primary Sources Project event. It is the responsibility of the school to seek the consent to use creative work(s) generated and/or authored by students on the Internet or any other electronic/digital media. It should be understood that the student will be identified by first name only, for confidentiality purposes, as the author of said work. The Presidential Primary Sources Project and its affiliates, members, trustees, agents, officers, contractors, volunteers and employees will be held harmless against any and all claims, demands, actions, complaints, suits or other forms of liability that shall arise out of or by reason of, or be caused by the use of the students creative work(s), photograph, likeness or voice on television, radio or motion pictures, or in the print medium, or on the Internet or any other electronic/digital medium. It is further understood that no monies or other consideration in any form, including reimbursement for any expenses incurred by student or parents, will become due the student participants because of participation in any of the above activities or the above-described use of my student's creative work(s), photograph, likeness or voice.
Required
Please indicate which events you would like to participate in (All programs take place at 10am and 1pm Central Time) *
Only select events you plan to attend as an interactive site
Required
How did you hear about this project? *
To help us with our marketing efforts, please tell us how you learned about this program series.
Your answer
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