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Special Event VC Series Registration

By admin - Posted on October 6th, 2009

Use this form for Special Event VC Series!

Program Choice: *

Gold Fever

Adopt a Dog

Call of the Wild

Sled Dogs with Santa

Northern Lights

Race Ready

Virtual Sled Dog Race

Mystery of the North: The Dog Gobbling Lake Monster

Survive Special Event

Scheduler Name: *

Scheduler Email: *

As the scheduler, you are : *

Teacher

Technology Coordinator

Librarian

Media Specialist

Parent

Teacher Name: *

Teacher Email: *

Teacher Phone: *

School Name: *

Grade Level of Students: *

Number of students participating:: *

Program Time Choice: : *

Session 1 Grades 1-3 : 7:00-8:00 Alaska Time (8:00-9:00 Pacific)(9:00-10:00 Mtn)(10:00-11:00Central)(11:00-12:00 Eastern)

Session 2 Grades 3-5: 8:15-9:15 Alaska Time (9:15-10:15 Pacific)(10:15-11:15 Mtn)(11:15-12:15 Central)(12:15-1:15 Eastern)

Session 3 Grades 6-8: 9:30-10:30 Alaska Time (10:30-11:30 Pacific)(11:30-12:30 Mtn)(12:30-1:30 Central)(1:30-2:30 Eastern)

Session 4: Grades 8-12: 10:45-11:45 Alaska Time (11:45-12:45 Pacific)(12:45-1:45 Mtn)(1:45-2:45 Central)(2:45-3:45 Eastern)

Ip Connection Number: *

If you do not know, enter unknown.

Technology Coordinator Name: *

Technology Coordinator Email: *

Technology Coordinator Phone: *

Billing Name: *

Billing Email: *

Billing Address: *

How did you hear about our special event?: *

Website

Newsletter

Twitter

Recommendation

Web Search

Need a special request time slot? Just let us know and we will see what we can do to accommodate you?:

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