Japan in the Schools Registration Form
Contact Information:
Teacher Name
School
School District
School Address
City
State
Zip
Daytime #
Evening #
Fax #
E-mail
About the Presentation:
Dates requested
AM or PM
Grade level
# of Students
Presentation area: Will there be a 6' table or display area? Please provide details.
Topic or focus of
the presentation.
Additional comments
A limited number of registrations will be processed on a first-come, first-serve basis.