SCRAP at School Planning Form

Please complete the following information at least two weeks in advance of your desired SCRAP at School date. The Education Coordinator will contact you to confirm a date and time for your visit. Please note that completing this form is NOT a reservation for your presentation.

Please contact education@scraphumboldt.org with any questions.

First Name*:
Last Name*:
Title*:
School or Organization*:
Phone*:
Alternate Phone:
Email*:
Street Address*:
City*:
State*:
Zip*:
Desired date(s) and time for SCRAP at School presentation*:
Number of students in class (max 30)*:
Age of students in group*:
The creative reuse activities we do often have a theme. Do you have a preference for the theme or focus of your activity?:
If your group has been to SCRAP before and would like a new craft project this visit, list the project previously done at SCRAP.:
Is your school a Title 1 School?:
How did you hear about us?: