U.S.A. Enrollment Form - Creative Connections

USA Enrollment Form: 2008-2009

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

Please enroll me in your:

	ArtLink Program ($395 enrollment fee per class, $375 if enrolled by May 31st)
	Rainforest Connection Program ($500 per class)
	MusicLink Program ($100 enrollment fee per class)

Creative Connections pays the international shipping costs of all exchange materials your class creates. Your school needs only pay domestic postage to ship your class' work to our office in Connecticut. The other services included in each program are described fully on the program information sheets. Do not send us payment with this form. We will invoice your school once the matching process is completed.

Name of Teacher:
Name of School:
Address Line 1:
Address Line 2:
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:

We have a number of foreign classrooms which have e-mail and internet capability. If possible, would you like part of your exchange to be carried out via e-mail and internet?	Yes

Partner Country Requests

(For Classroom Connection and ArtLink partners only. MusicLink partners are automatically teamed up with all of the program's participants.)

Below is a list of our 2007-2008 partner countries, which we anticipate being with us again in 2008-2009. You have the opportunity to indicate the specific country(ies) you wish to partner with. We will endeavor to give you your 1st, 2nd or 3rd choice, but please be aware that we have a limited number of partner classes at any given grade level in each country. If your preference country is unavailable, we will contact you as soon as possible to discuss alternative choices. Please indicate your 1st, 2nd and 3rd choices below.

ArtLink Partners

Argentina
Botswana
Brazil
Cambodia
China
Colombia
Cyprus
England
Gambia
Guatemala
Hungary
India
Indonesia
Ireland
Japan
Kazakhstan
Latvia
Mexico
Nepal
New Zealand
Panama
Poland
Russia
South Africa
Sri Lanka
Tanzania
Turkey
Uganda
Uruguay

1st Choice:
2nd Choice:
3rd Choice:

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

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