2010 Kansas Pork in the Schools

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1. Teacher Name

Teacher Name

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2. Name of School

Name of School

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3. Address of School

Address of School

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4. Course(s) in which pork will be taught

Course(s) in which pork will be taught

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5. Approximate number of students

Approximate number of students

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6. Grade Level(s)

Grade Level(s)

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7. I would like to receive semi-annual updates on new Pork In The Schools teaching material. i.e. New videos, recipes or games.

I would like to receive semi-annual updates on new Pork In The Schools teaching material. i.e. New videos, recipes or games.   Yes No