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.

Assembly Presentation

Requesting Teacher’s Contact Information

Enter Email
Confirm Email

School Information

City
State/Province
Zip/Postal

Attending Teacher Information

Each student will receive a ‘goody bag’ for attending the assembly. Please provide the name(s) of all teachers, including yourself, who will be attending the assembly and the number of students in each class.

Assembly Checklist

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