P4B Registration Form Title
Registration agreement
I would like to register for participation in the 2010/2011 Power4Bones program.
Registering Grade 5 Teacher
Province:
Ontario School Board:

Alberta School Board:

New Brunswick School Board:

Nova Scotia School Board:

First Name:
Last Name:
Email Address:
Re-enter Email Address:
School Phone Number:
School Fax (optional):
If we need to contact you, what is your preferred method?
**
What grade will you be using the Power4Bones program in?




What is your teaching area?
 





How many students are in your class?

School Information:

School Name:
School Mailing Address:
City/Town:
Postal Code:
Principal's Name (optional):
Principal's Email (optional):
Size of School
(number of students)
 
Number of grade 5 classes in your school:

(You must complete a separate form for each participating grade 5 class)
 

Grade 5 only:
Grade 4/5 split:
Grade 5/6 split:

A Few Last Questions:


Does your school meet the recommended computer requirements of the P4B program?




If you would like to test your computer to see if it meets the requirements, visit our test page OR email your questions using our contact form, and we'll get back to you!

Finally, how did you hear about the Power4Bones program?
 

Please enter this security code: Security Image