CARE Program Request Info

 


Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradeOther/Special





Please list the info below for who will be the contact person for the class above (may be a parent, teacher, or other appropriate adult)

Below please list preferred date and time for CARE lesson. Please note we prefer to facilitate the program during the same day and time each week. If you are requesting multiple lessons Responsibility will be facilitated as the first lesson.


Yes!No


DogCatGuinea Pig



ResponsibilityCaringFairnessRespectCitizenship