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Teacher Name
School Name
Email*
Phone*
Address*
City*
State*
Idaho
Montana
Washington
Zip*
Possible presentation dates
-month-
Jan
Feb
Mar
Apr
May
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Jul
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Nov
Dec
-day-
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-year-
2023
2024
2025
-month-
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
-day-
01
02
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31
-year-
2023
2024
2025
Class times
(i.e. 1st period - 8:07-9:00, 2nd period - 9:05-10:03 etc...)
Room Number
Do you have a DVD player available?
Yes
No
Number of students attending