School Participation Form

School Name

School Address

School Contact Name

Contact Email Address

Contact Phone Number

Grade Levels Participating

Elementary

Middle School

Number of Students Enrolled

Design Team Coach Name

Design Team Coach Email Address

Design Team Coach Phone Number

Assistant Coach Name

Assistant Coach Email Address

Assistant Coach Phone Number

Preferred Kickoff Workshop Date

Preferred Second Workshop Date

Are you requesting additional students above the 13 /14-student limit?

Yes

No

If yes, please provide the number of additional students.

Special Requests or Notes