Request an In-Class Presentation

To request an in-class presentation by someone with a personal connection to donation, fill out the form below.

Inputs marked with a * are required

    Teacher Name

    School Name

    Email*

    Phone*

    Address*

    City*

    State*

    Zip*

    Possible presentation dates

    Class times

    (i.e. 1st period - 8:07-9:00, 2nd period - 9:05-10:03 etc...)

    Room Number

    Do you have a DVD player available?
    YesNo

    Number of students attending

    captcha
    Type what see in the box above