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Order activ8
To order activ8:
Teacher
Principal
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Mr.
Mrs.
Miss
Ms.
First Name:
Last Name:
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School:
School Address:
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Province:
Postal Code:
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Preferred communications: Telephone
Fax
E-mail
Preferred Languages:
English
French
Total number of students in school:
Number of students per grade who will be participating in the program:
JK
K
1
2
3
4
5
6
7
8
Number of teachers using activ8:
JK-K
1-3
4-6
7-8
*Please note activ8 is available in four modules (JK-K, 1-3, 4-6, 7-8). Supplies are limited and will be fulfilled based on student/teacher ratio.
Where did you hear about the activ8 program?
Colleague(s)
Flyer/letter sent to my school
At a conference (please specify)
I’ve used activ8 before
Active Healthy Kids Canada website
Ophea website
Other (please specify)
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