Live Broadcast Scheduling Request Form

***If you do NOT receive immediate confirmation when you click "submit..." below, print this page and fax to: Kathy Nobles, 706-821-0634. Sorry for the delay.

Make sure you complete the entire form.  You pick your choices of dates and times at the very bottom of this form.  You are responsible for providing any transportation, lodging, and meals.

Teacher:

School: 

School Address: 

School System:

School Phone: (include area code)  

Home Phone: (include area code)

E-Mail Address: (sample:  jdoe@hotmail.com )

Number of Students Attending:

Number of Adults Attending (Teacher + Chaperons):(see note below)

Note:  You are required to bring 1 chaperon for every 10 students! 

If you have difficulty with this requirement, please notify us immediately!!

Would you be interested in having your students bring projects, posters, displays, etc. to be displayed at Fort Discovery during the two weeks of the Broadcast?   

   (Check here if interested)  You will need to bring the materials to Fort Discovery one week prior to the Broadcast!

What projects, posters, displays, etc do you plan to bring to Fort Discovery for display (if you checked above):

Special Needs:

Requests will be processed on a first-come-first-serve basis.

Select Your First, Second, and Third Choices for viewing broadcast at NSC:

You will receive confirmation of your scheduled time by e-mail.

Remember that you are responsible for any transportation, lodging, and meals.