Middle School Date Request Form
We are excited to get dates scheduled for your program.
Please share the details below and we will be in touch soon.
Main Contact Person
First Name *
Last Name *
Email *
Phone Number
School Name *
Position *
Workshop Requests
Please share 3 upcoming weeks that will work with your campus calendar.
MS Workshops *
Please select one
One Workshop Day
Two Workshop Days (minimum)
Three Workshop Days
Four Workshop Days
Preferred week #1 *
Preferred week #2 *
Preferred week #3
Additional Information
Once we confirm a program week, our team will send over a contract and invoice to reserve the dates. Please share a few more details for the contract process.
Alternate contact person *
Alternate contact phone number *
Alternate contact email *
Name of person to sign contract *
Signer email address *
Who should get the logistics for the program *
Do you need a price breakdown before the contract is sent? *
Please select one
YES
NO
Additional comments
If you have any questions while completing this form, please email
[email protected]
.
Once you hit submit, our team will follow-up to confirm what dates are available and the next steps for payment and logistics.
We will be in touch shortly!
Submit