Germ City Log Form
 
Date
   
Presenter
Presenter's Organization
Presenter's Role/Job
Number of Assistants
   
Name of Location Type of Location
 

1=in-school activity
2=after-school activity
3=camp
4=fair
5=community organization
6=faith-based organization
7=other (explain)

   
Number of children K-2
Number of children 3rd - 6th
Number of children 7th - 9th
Number of children 10th - 12th
Number of adults
   
Evaluation done? 0 = no, 1= yes

 

     

 

 

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