Adopt-A-Player Registration

School:
School Board (or Association):
School Address:
City:
Province:
Postal Code:
Contact (Teacher):
Position / Title: Classroom Teacher
Music Teacher
Email address:
School phone number:
Home/Cell phone number:
Fax number:
No. of students: (Max 32)
Grade(s) of class: Gr 4
Gr 5
Gr 6
Other
Please indicate which of the Alberta: Songs of Our Land (Gr 4-6) ESO Education Concerts these students have already registered for: February 8, 2012 at 10:30 am
February 8, 2012 at 1 pm
February 14, 2012 at 10:30 am
February 14, 2012 at 1 pm
February 15, 2012 at 10:30 am
February 15, 2012 at 1 pm
Other
Has your school participated in the Adopt-a-Player program before? Yes
No
If your school participated in the Adopt-a-Player Program before, when did it participate (indicate how many times your school participated):
Teacher's education background / interests:
What do you hope to achieve from the Adopt-a-Player Program?
Additional comments or requests: