Teacher Response Form for AG DAY LA 2020

Teacher Name * First Last
Cell # - ### - ### ####
Email *
Will you be attending both the AG DAY LA event and the 48th District’s Schools’ Ag & Nutrition Fair?
(Each teacher is responsible for filling out their own registration form) *
Yes No
School Name *
School District *
School's City *
School Address *
School's Phone * - ### - ### ####
If you are a home school teacher or parent, indicate how many cars will be arriving
Number of School Buses *
Grade Level *
Total Students per Class *
Special Needs Students? *
Yes No
Which day(s) will you be attending? *
Wednesday, May 13, 2019 Thursday, May 14, 2019
Which session will you be attending? *
Early Session 9:30am – 11:30am Late Session 10:50am - 12:40pm
How did you hear about this event? *
Please enter any comments you may have
Once you press CONTINUE, please review the information and make any changes and print a copy for your records