Full Name
Email Address
Phone Number
Job Title
Name Of School
What Day(s) Of The Week Are You Interested In Hosting Bucketeers? SUNMONTUESWEDTHURSFRISAT
When Would You Like Us To Provide Service? —Please choose an option—During SchoolAfter School
What Type Of Commitment Are You Interested In? —Please choose an option—Once A Week Classes For Several Weeks (A Session)One-Time Visit(s)
What Time Span(s) Are You Interested In? (For example: January 8th through May 30th)
What Will Be The Funding Source? —Please choose an option—ParentsParent Teacher OrganizationSchool or School DistrictGrant-Funded