JA Enterprise Village Registration Form

 

School:

 

Contact person: E-mail Address:

 

School Phone:            School Fax:

 

Please select your preferred month that you would like to visit JA Enterprise Village.

We will do our best to accommodate your request please list first and second choices.

Remember that the JA Enterprise Village Curriculum begins 6 weeks before your visit.

         

Preferred months are:  

First Choice:       Second Choice:

 

  Please complete the following information for class registration:

  

Teacher First Name

Teacher Last Name

Total #

students

* ESE

**4/5 Combo

*Use this column for self-contained ESE only.  **Include 4th grade students being taught the JA Enterprise unit.

 

*Special information, (ex. wheelchair bus needed), to consider in scheduling school visit:

 

 

 

Bill Poe Family Junior Achievement Center

13707 N. 22nd Street

Tampa, FL 33613

Phone (813) 631-1410 * Fax (813) 979-1803