1.Your name

2.Email

3.Phone Number

4.Name of your School

5.School Address

6.What dates are you available?

4/21-4/22

4/23-4/24

5/8-5/9

5/22-5/23

6/2-6/3

6/4-6/5

Other (please specify)

7.How many classes?

8.What are the hours of your classes?

9.Approx. number of students per class

10.Is there water available?