Workshop Registration

Please use this form to register your class for a Jr. Medics workshop, which will be offered as two one-hour sessions. Should you wish to register more than one class to our program, we ask that you complete a separate form for each group. The information you provide in this form is strictly confidential and will only be used to assign a team of educators to your class.​

Full name of school
If you teach a split-grade class, please select all grades you teach.
At this time, we cannot guarantee that in-person sessions will be offered for the upcoming academic year, but we will try to accommodate your preferences.
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