We are pleased to offer this curriculum to anyone wishing to use it for educational purposes. In order to continually improve and track the use of the curriculum, we ask for your contact information and a brief description of how you intend to use it. In exchange, we would be happy to answer any questions you have and support your use to the best of our ability. Splash will not share your contact information with anyone.

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* 1. First Name

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* 2. Last Name

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* 3. Email

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* 4. Organization (if applicable)

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* 5. Street Address

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* 6. City

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* 7. State

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* 8. Zip Code

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* 9. I am downloading this curriculum because I am a(n)....

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* 10. Briefly explain how you plan to use this curriculum.

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* 11. Any comments or questions for us? We'd love to help you out!

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