Teacher Registration

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Please enter the email address where you'd like us to send your Starbucks gift card

Choose a date in which you'd like us to deliver the materials to your classroom?(Required)

How many students do you wish to register? (Only students you'll be teaching)(Required)

Please enter a number from 1 to 699.

Which grade-level materials would you like?(Required)

Please provide further detail about the grade level of the students receiving the materials?

Please enter the room number in which you'd like us to deliver the materials.(Required)

Time to select your school information!

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How did you hear about this program?

School Name

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School ID

School District

School Address (check the box below to edit)

Edit School Address

School Name

School District

School Address

Next, we'll finalize your registration.

What is your name?(Required)

What is your title?(Required)

What is your e-mail address?(Required)

What is the best phone number to reach you?(Required)

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Did you participate in the Water Detective / WaterWise program last year?

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Do you have any kits or materials remaining?

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How many kits do you have?

We are once again offering our optional in-class presentation. Presentations are provided in-person by our staff and are 30 to 45 minutes long! Available dates are limited.

On a limited basis for teachers, we are offering our optional in-class presentation. Presentations are provided in-person by our staff and are 30 to 45 minutes long. Available dates are limited.

Are you interested in an in-class presentation by our staff

What is your preferred date for our presentation?

MM slash DD slash YYYY

If your preferred date is not available, please select a secondary date.

MM slash DD slash YYYY

Last thing! Do you want to register any of your colleagues?

Are other teachers at your school and in your grade level intending to participate?(Required)
How many of those teachers do you wish to enroll?(Required)

Register Teacher #2
What is their name?(Required)
First Last
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What is their title?
What is their e-mail address?(Required)

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What is the best phone number to reach them?
How many students do you wish to register for them?(Required)
Register Teacher #3
What is their name?(Required)
First Last
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What is their title?
What is their e-mail address?(Required)

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What is the best phone number to reach them?
How many students do you wish to register for them?(Required)
Register Teacher #4
What is their name?(Required)
First Last
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What is their title?
What is their e-mail address?(Required)

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What is the best phone number to reach them?
How many students do you wish to register for them?(Required)
Register Teacher #5
What is their name?(Required)
First Last
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What is their title?
What is their e-mail address?(Required)

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What is the best phone number to reach them?
How many students do you wish to register for them?(Required)
Register Teacher #6
What is their name?(Required)
First Last
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What is their title?
What is their e-mail address?(Required)

This field is hidden when viewing the form
What is the best phone number to reach them?
How many students do you wish to register for them?(Required)