Children's Clean Water Festival Classroom Presenter / Exhibitor Registration Form

Question Title

* 1. Please enter your contact information:

Name *

Organization *

Mailing Address *

Address 2

City/Town *

State/Province *

Zip Code *

Work Email Address *

Phone Number (and extension if applicable) *

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* 2. I would like to participate as:

Classroom Presenter

Exhibitor

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* 3. Please provide your activity/exhibit name and a description of the activity/exhibit:

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* 4. Equipment needed for your activity/exhibit:

Electricity

Water access

No equipment needed

Other (please specify)

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* 5. Please include the total number of presenters from your group and their names:

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* 6. How many lunches would your group like? Please indicate vegetarian / non-vegetarian / dairy-free / gluten-free. Multiple options can be combined (dairy-free and gluten-free)

Example: 8 lunches: 5 vegetarian, 2 non-vegetarian, 1 dairy-free, gluten free, non-vegetarian

Children's Clean Water Festival Classroom Presenter / Exhibitor Registration Form

Question Title

* 1. Please enter your contact information:

Question Title

* 2. I would like to participate as:

Question Title

* 3. Please provide your activity/exhibit name and a description of the activity/exhibit:

Question Title

* 4. Equipment needed for your activity/exhibit:

Question Title

* 5. Please include the total number of presenters from your group and their names:

Question Title

* 6. How many lunches would your group like? Please indicate vegetarian / non-vegetarian / dairy-free / gluten-free. Multiple options can be combined (dairy-free and gluten-free)

Example: 8 lunches: 5 vegetarian, 2 non-vegetarian, 1 dairy-free, gluten free, non-vegetarian

Question Title

* 7. Do you have any additional requests?

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* 8. Do you have a website link you'd like to include on our Resources webpage?

Children's Clean Water Festival Classroom Presenter / Exhibitor Registration Form

Question Title

* 1. Please enter your contact information:

Question Title

* 2. I would like to participate as:

Question Title

* 3. Please provide your activity/exhibit name and a description of the activity/exhibit:

Question Title

* 4. Equipment needed for your activity/exhibit:

Question Title

* 5. Please include the total number of presenters from your group and their names:

Question Title

* 6. How many lunches would your group like? Please indicate vegetarian / non-vegetarian / dairy-free / gluten-free. Multiple options can be combined (dairy-free and gluten-free)Example: 8 lunches: 5 vegetarian, 2 non-vegetarian, 1 dairy-free, gluten free, non-vegetarian

Question Title

* 7. Do you have any additional requests?

Question Title

* 8. Do you have a website link you'd like to include on our Resources webpage?

* 6. How many lunches would your group like? Please indicate vegetarian / non-vegetarian / dairy-free / gluten-free. Multiple options can be combined (dairy-free and gluten-free)

Example: 8 lunches: 5 vegetarian, 2 non-vegetarian, 1 dairy-free, gluten free, non-vegetarian