Classroom Assembly Form 2018-08-27T12:02:00+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.

Mojave Max Assembly

School Information

Address of School
City
State/Province
Zip/Postal

Requestor's Contact Information

Enter Email
Confirm Email

Principal's Contact Information

Enter Email
Confirm Email

Office Manager's Contact Information

Enter Email
Confirm Email

Attending Teacher's Information

Please provide the name(s) of ALL teachers who will be attending the assembly and the number of students in each teacher's class. INCLUDE YOURSELF if you are the requestor and will also have students attending the assembly. We need an accurate student count to ensure that all students receive Mojave Max goodies for attending the assembly.
Enter Email
Confirm Email
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