STUDENT LED OFF CAMPUS EVENT

Outreach for Diabetes Prevention among High School Students.

The student teams will travel to your respective campuses.

Location: Respective School
Time: a 50 minute time block based on your school's schedule

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* 1. School Name:

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* 2. School Address:

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* 3. Phone Number:

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* 4. Teacher Name:

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* 5. Teacher Contact Phone Number:

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* 6. Teacher Contact Email:

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* 7. Age of Students:

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* 8. If you are a Northside ISD or Northeast ISD school, please select a Monday, Tuesday, or Wednesday afternoon between September 8th and December 17th.

Give us three specific dates and times that would work on your calendar.

*NOTE: a date is not confirmed for a session until you receive final confirmation emails.

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* 9. If you are a San Antonio ISD, Southside ISD, Harlandale ISD, South San Antonio ISD, and Edgewood ISD school, please select a Monday, Tuesday, or Wednesday morning between September 8th and December 17th.

Give us three specific dates and times that would work on your calendar.

*NOTE: a date is not confirmed for a session until you receive final confirmation emails.

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* 10. Number of students you plan to have present for presentation:

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