PULSE café Elementary School Order Form

To order free resources for you and your students, please complete this form. Thank you!

"*" indicates required fields

Teacher's Name*

First Last

Teacher's Phone Number*

Teacher's Email Address*

Number of Classes*

Total Number of Students*

Number of Classes*

Total Number of Students*

Name of School*

School's Mailing Address

Street Address Address Line 2 City Province Postal Code

Teaching Notes (booklet for all grades)

Please enter a number from 0 to 1.

Curriculum Notes - Grades 1 to 3 (double-sided page)

Please enter a number from 0 to 1.

Curriculum Notes - Grades 4 to 6 (double-sided page)

Please enter a number from 0 to 1.

Grades 1 to 3 Student Activity Booklet

Please enter a number from 0 to 999.

Grades 4 to 6 Student Activity Booklet

Please enter a number from 0 to 999.

Dry Beans for Grade 4-6 bean growing activity

Yes

Pulse Poster

Yes

Would you like to sign up for our quarterly Bright Ideas newsletter?*

Yes, please add me to your mailing list.

No, I don't want to receive any updates.

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