St Monica

Upcoming Presentation

Location: St Monica Elementary School
Date: Thursday Feb 18th 2016
Time: 9:15-10:15 am
Please allow for time in you day to travel to a from the school.

By filling out the following form, you commit to presenting the Concussion Legacy Foundation presentation. Since there is a limited amount of time to present, 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 you interest: *

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.

Concussion Educator ID (i.e. M11501) *

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

Thank you for filling out this form. We will be contacting you shortly to pick a date to run over the presentation together!

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