You must have JavaScript enabled to use this form. Program you are requesting - Select -Sowing Creativity, $560 four-weekSowing Creativity, $840 six-weekSowing Creativity, $1120 eight-weekSowing Creativity, $1400 ten-week School name School address School phone number with extension Name of principal Principal email Contact person requesting Contact person email Contact person phone number How many classrooms will be participating (Minimum Participation Requirement = 2 classrooms)? Please list all participating teacher’s names and email addresses below. *Please note, due to scheduling constraints, all participating teachers must agree to the same day of the week for programming, back-to-back scheduling is ideal. Grade level(s) Select preferred start date *requests must be made a minimum of 6 weeks in advance. Select preferred day of the week (first choice) - Select -MondayTuesdayWednesdayThursdayFridaySaturdaySunday Select preferred day of the week (second choice) - Select -MondayTuesdayWednesdayThursdayFridaySaturdaySunday *Please note, we will do our best to accommodate your ‘first choice’ schedule. If you have any conflicts during your programming schedule (holidays, etc.) please let us know those date(s) below and we will plan to continue programming around those date(s). How will you be funding this program? Please provide detailed information as to whether your program is grant-funded, out of pocket or a combination (include your grant number if applicable) Invoicing contact and email?