Gardenview

Upcoming Presentation

Location: Gardenview Elementary School
Date: Thursday Feb 4th 2016
Time: 9:00am - 11:10am
Age: 5th and 6th grade
We will be meeting early to travel to the school on time.

By filling out the following form, you commit to presenting the Concussion Legacy Foundation presentation. Since there is a limited space, we will contact you to confirm that you will be presenting. If you do not get selected as a presenter, you are still welcome to come watch how its done! This is a great way to learn to how things work. Please note that only certified concussion educators will be selected to present.

* Indicates required field

Name *

First

Last

Email *

Please let us know a bit about you: *

I am a trained educator and agree to present the day of, and practice once before with my group. If I don't get selected to present, I would still like to attend the presentation. I am not trained or don't feel ready to present, but would like to watch the presentation. Je peux presenter en Français!

Do you have a car you could use to carpool? If so, how many seats do you have? *

Concussion Educator ID (i.e. M11501) *

Thank you for filling out this form. We will get back to you closer to the day of the presentation.

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