Global Climate Change: Registration Form

Global Climate Change: Registration Form

The LUV Team will be in touch with you once we have received your information. If you have any questions or comments, please do not hesitate to contact us.

First Name:

Last Name:

Email Address:

Phone:

School Name:

School Address (including COUNTRY):

COURSE DETAILS:

The course will run from November 11th-23rd. Classroom activities will include one video exchange per week plus additional work on the online LUV Platform, as well as group research and project collaboration work. Classroom time estimated to be approximately two (2) hours per week, four (4) hours in total.

Number of participating classrooms (the course fee is paid PER CLASSROOM of up to 25 students):

CLASSROOM 1 DETAILS

Age Range of Students (13+ years) :

Please pick the closest range to the majority of your students and we will do our best to pair you with a similarly aged classroom.

We require ONE email address to be used to login to the LUV Platform to access training and manage the on-going course once it is underway. These login credentials will need to be shared and used by the teaching team for this class. This email account is also where all notifications and alerts pertaining to the course will be sent. Usually the Lead Teacher for each class provides their email address, or a shared group email is created for this purpose:

Please provide us with the name of the teacher to be added for Class 1:

Please provide us with the email address to be used for Class 1:

Are you registering for another classroom to participate? If so, please check the box and complete the details for the next class:

Yes - I have another class to provide details forNO - I am only registering for one classroom of up to 25 students

CLASSROOM 2 DETAILS

Age Range of Students (in years):

We require ONE email address to be used to login to the LUV Platform to access training and manage the on-going course once it is underway. These login credentials will need to be shared and used by the teaching team for this class. This email account is also where all notifications and alerts pertaining to the course will be sent. Usually the Lead Teacher for each class provides their email address, or a shared group email is created for this purpose:

Please provide us with the name of the teacher to be added for Class 1:

Please provide us with the email address to be used for Class 1:

Are you registering for another classroom to participate? If so, please check the box and complete the details for the next class:

Yes - I have another class to provide details forNO - I am only registering for one classroom of up to 25 students

CLASSROOM 3 DETAILS

Age Range of Students (in years):

We require ONE email address to be used to login to the LUV Platform to access training and manage the on-going course once it is underway. These login credentials will need to be shared and used by the teaching team for this class. This email account is also where all notifications and alerts pertaining to the course will be sent. Usually the Lead Teacher for each class provides their email address, or a shared group email is created for this purpose:

Please provide us with the name of the teacher to be added for Class 1:

Please provide us with the email address to be used for Class 1:

Are you registering for another classroom to participate? If so, please check the box and complete the details for the next class:

Yes - I have another class to provide details forNO - I am only registering for one classroom of up to 25 students

CLASSROOM 4 DETAILS

Age Range of Students (in years):

We require ONE email address to be used to login to the LUV Platform to access training and manage the on-going course once it is underway. These login credentials will need to be shared and used by the teaching team for this class. This email account is also where all notifications and alerts pertaining to the course will be sent. Usually the Lead Teacher for each class provides their email address, or a shared group email is created for this purpose:

Please provide us with the name of the teacher to be added for Class 1:

Please provide us with the email address to be used for Class 1:

Are you registering for another classroom to participate? If so, please check the box and complete the details for the next class:

Yes - I have another class to provide details forNO - I am only registering for one classroom of up to 25 students

CLASSROOM 5 DETAILS

Age Range of Students (in years):

We require ONE email address to be used to login to the LUV Platform to access training and manage the on-going course once it is underway. These login credentials will need to be shared and used by the teaching team for this class. This email account is also where all notifications and alerts pertaining to the course will be sent. Usually the Lead Teacher for each class provides their email address, or a shared group email is created for this purpose:

Please provide us with the name of the teacher to be added for Class 1:

Please provide us with the email address to be used for Class 1:

BILLING INFORMATION:

The cost for participation in this Level Up Village course is $99 per classroom.

Please provide us with the name and contact details for the billing contact, if different from above:

Billing Contact First Name:

Billing Contact Last Name:

Billing Contact Email:

Billing Address:

AGREEMENTS:

In order to complete the registration process, you will need to sign the following form:

LUV School Agreement

Please check the box to show that the corresponding document has been signed:

LUV Agreement

On completion of registration, access to the LUV Platform, including course training and details of next steps, will be provided to the email address given for each class. Is there anything else we haven't addressed in this registration process that you have questions about? Please let us know in the box below. :

Contact Information