Classroom Assembly Form 2017-10-11T11:06:35+00:00

Request a Mojave Max Assembly

Please fill out the form below to request a Mojave Max Assembly at your school.  All fields must be completely filled out. Please include yourself in the “Attending Teacher Information” section if you will also have students attending the assembly.

Assembly Presentation

School Information

City
State/Province
Zip/Postal

Requesting Teacher’s Contact Information

Enter Email
Confirm Email

Attending Teacher Information

Please provide the name(s) of all teachers who will be attending the assembly and the number of students in each class. INCLUDE YOURSELF if you will also have students attending the assembly. Each student will receive a ‘goody bag’ for attending the assembly.
The total number of students from all classes listed above.

Assembly Dates

PLEASE MARK A MINIMUM OF THREE DATES THAT ARE ACCEPTABLE FOR AN ASSEMBLY. Feel free to mark as many dates as possibly that are acceptable for an assembly at your school.

Assembly Checklist

Please ensure all items have been considered and/or will be provided on the day of the assembly
Sending