50% of survey complete.

* 1. First Name

* 2. Last Name

* 3. Exact birth date, including day, month, and year.

4. Ethnicity (for demographic purposes)

* 5. Email Address

6. Phone Number

* 7. Street Address

* 8. City and State

* 9. Zip Code

10. Please list what topics you will be teaching in the 2013-2014 school year.

11. Please indicate what grades/ages you will be teaching in the 2013-2014 school year.

12. Please tell us any topics you would suggest for the NEXT spring classes.

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