Teacher Registration

Teacher Name:*

First Last

Cell Phone Number:

ex. (123)456-7890

Teacher School:*

School Address*

Street Address City ZIP Code

Your School Email:*

Your Home Email:

Grade:

Grade:*

Number of Classrooms (must have 20 students per classroom)*

Subject:*

(select one or both):*

Did you participate last year?*

Questions or Comments?:

BACKGROUND CHECK FOR VISITORS?

Does your schools require a business to get a background check before they visit your classroom?