Surfrider Foundation, San Diego Chapter

Classroom Presentations Request Form
Select a Presentation:
Grade:
School/Organization:
Area/City:
What is the approximate age level of the group?
Number in group:
Ideal Date:	(1st choice) (2nd choice)
Ideal Time:
Contact Person:
First Name:
Last Name:
Phone Number:
Email:
Will there be access to a:
TV and VCR?	Yes No
Overhead Projector?	Yes No
Blackboard/Dry-Erase Board?	Yes No
DVD player?	Yes No
Additional Comments/Requests: