Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Number of participants *

If you anticipate more than twenty participants, please submit separate registration forms, as we accommodate a maximum of twenty participants per session.

1–10 participants

11–20 participants

Participants' Grade(s) *

Select all that apply

9th

10th

11th

12th

Which program structure would your prefer? *

Our program is offered in two formats: 6 sessions: The six-session option allows the participants to be coached through the entire workbook by one of our facilitators. 2 sessions: In the two-session format, we provide an overview of the workbook and guide students through one activity.

6 sessions

2 sessions

Delivery Method *

In-person sessions are currently not available

Virtual