Colusa County 4-H
School Enrichment Kit Sign-Up Survey
Entomology in the Classroom (EIC) Kits are all 8 week checkouts
Individual curriculum can be checked out for 4 weeks at a time
First Name: ✻
Last Name: ✻
Phone Number: ✻
Email address: ✻
School Name ✻
Grade Level: ✻
Approximate number of students: ✻
Kit Delivery/Pick-Up ✻
Start date: ✻
Kit/Curriculum requested: ✻
Questions/Comments/Concerns:
(If needing kit for longer than the standard 8 weeks or if needing curriculum before the kit please comment here)
