International Enrollment Form - Creative Connections

International Enrollment Form: 2008-2009

Pleaes fill out one form for each class to be enrolled.

Please enroll me in your:

	Rainforest Connection Program
	ArtLink Program
	MusicLink Program

Partner classes outside the USA pay no exchange fee. However, you are usually responsible for paying the mailing costs of your project work to our office in Connecticut.

Name of Teacher:
Name of School:
School Address Line 1:
School Address Line 2:
School Address Line 3:
School Phone:
School Fax:
Best Time to Phone Teacher at School:
School E-Mail Address (if any):
Teacher's E-Mail Address (if different):
Teacher's Home Phone:
Teacher's Cell Phone:
Best Time to Phone Teacher at Home:
Name of Principal, Director or School Head:
School Year Details Opening, Closing and Major Vacation Dates:

Participating Class Information
Subject(s):
Grade(s):
Age(s):
Class Size:
If you are registering more than one class please add your notes in the comment box.

If you would like to carry on this exchange in a language other than English, please indicate the language you prefer:

Language(s) to be used in conducting project work:

School has access to video cassette recorder:	Yes
School has access to video camera:	Yes
Teacher has access to the internet at school:	Yes
School needs financial assistance for shipping projects:	Yes
Is there anything else you would like to tell us?

Creative Connections | 3 Quincy St. | Norwalk, CT 06850 USA | Phone 203 803 4376 | Fax 203 803 4386

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