Application – CATCH Open Academy: In-School Training TRAINING INFORMATION Date: June 5-8, 8:30AM - 3:30PM (Participants can attend the first day or all four days.)Location: TBD, central Austin, TX PARTICIPANT INFORMATION Question Title * 1. Name Question Title * 2. Email Address Question Title * 3. Organization/District Name Question Title * 4. Organization/District Address Address Address 2 City State ZIP Country Question Title * 5. Title Question Title * 6. Phone Work Mobile ADDITIONAL INFORMATION Question Title * 7. Does your district/organization already use CATCH? Yes No Question Title * 8. If yes, please answer the following: What year did you start? What year was someone from your district/organization last trained? How many elementary schools implement CATCH? Approximately how many elementary school students? How many middle schools implement CATCH? Approximately how many middle school students? Question Title * 9. Have you attended a CATCH training in the past? Yes No Question Title * 10. If you are not currently using CATCH how many sites do you anticipate implementing CATCH? How many elementary schools? Approximately how many elementary school students? How many middle schools? Approximately how many middle school students? ADDITIONAL INFO FOR 4-DAY APPLICANTS Question Title * 11. Do you work directly for the schools or organizations you will be training? Yes. No. (Please describe where and how you will be conducting CATCH trainings.) Question Title * 12. Approximately how many trainings will you be leading this year? Question Title * 13. Do you have any prior experience leading trainings? I have no experience leading trainings. I do have experience leading trainings. (Please describe.) Question Title * 14. Does your program have a CATCH Elementary and/or Middle School Coordination Kit? (Kit not included in training price.) Yes No PAYMENT OPTIONS Question Title * 15. Select training option: June 5: Implementation Training ONLY ($250) June 9: P.E. Training ONLY ($250) June 5-8: CATCH Train-the-Trainer ($750) June 5-9: CATCH Train-the-Trainer + P.E. Training ($900) Question Title * 16. Please select a payment option. Send me an invoice. Call me for credit card number. TRAINING ACADEMY AGREEMENT Training is non-refundable. In the event Client cancels this Agreement at any time, the Client will be invoiced for expenses reasonably incurred by Company in connection with the provision of services hereunder. Force Majeure. Neither party shall be liable for any failure to perform or delay in performing any of its obligations hereunder (other than the payment of money) when such failure or delay is due to circumstances beyond its reasonable control. If training is cancelled or postponed by CATCH Global Foundation, its liability to Client and Attendee shall be limited to a full refund of any payment received. Client, its employees and all training attendees (“Attendees”) acknowledge that they are only authorized to perform training for internal users as part of their employment responsibilities without additional compensation. Attendees will not accept compensation from third parties for CATCH-related training, train or certify other trainers, or represent themselves as a sub-licensee of Company or license holder to the CATCH® logo, trademark, curriculum content or other intellectual property. Question Title * 17. Accept Agreement and Initial: I accept the Training Academy Agreement. Type Initials Here: Done