JA BizTown Registration Form 2008-2009

School:

 

Contact person: E-mail Address:

 

School Phone:            School Fax:
 
Please select your preferred month that you would like to visit JA BizTown. We will do our best to accommodate your request please list first and second choices.
 
Remember that the JABizTown  Curriculum begins 4 weeks before your visit.

         

Preferred months are:  

First Choice:       Second Choice:

 

  Please complete the following information for class registration:

  

Teacher First Name

Teacher Last Name

Total #

students

* ESE

**4/5 Combo

*Use this column for self-contained ESE only.  **Include 4th grade students being taught the JA Enterprise unit.

 

*Special information, (ex. wheelchair bus needed), to consider in scheduling school visit: