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STINKY U
One Pair of Eyes
Registration Form
One Pair of Eyes Curriculum
Online Store
K.I.S.S. Your Kids
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registration form
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Registration Form
Name
*
Email Address
Position
Select ...
Nurse, Grade 7 and/or 8
Nurse, High School
Nurse, Younger Grades Only
Nurse, Non-School
Teacher, Grade 7 and/or 8
Teacher, Grade 9 and/or 10
Teacher, Grade 11 and/or 12
Teacher, More than 2 High School Levels
Teacher, Younger Grade(s) Only
Administrator
Librarian
Parent
Student, up to Grade 12
Student, University Level
Eye-Care Professional
Other
School District or Organization
*
Address
*
Zip Code
*
County
*
Do you have internet access in your classroom(s)?
*
Select ...
Yes. I can use this resource directly from this website!
No. Please send a CD/DVD set to me at the above address.
Have you seen the on-line intro/training module?
*
Select ...
Yes.
No, please register me.
No, but I am comfortable presenting the material without any training.
Thank you for completing the One Pair of Eyes registration form. You can now access the "One Pair of Eyes Curriculum".