Secondary Program Materials Loan Agreement and Contact Info Update 2014-15
If you are a teacher wishing to participate in the Splash Secondary Program during 2014-15, please update your contact information and then submit this form.
I acknowledge financial responsibility for the following Splash Program Materials valued between $620 and $900.
- One Teacher’s Manual ($75.00)
- One Class Set of Student Handbooks ($150.00)
- 16 BMI Guides ($325.00)
- 72 glass vials and 2 trays per class set ($70.00/class)
I acknowledge that these materials are on loan to me without charge. I agree to provide Splash with my complete contact information (including home address and phone) and to inform the secondary program coordinator when it changes.
I agree to surrender the materials within 30 days upon request by a Splash representative. If I do not return the materials within the allotted time, I understand that Splash will issue an invoice in my name for the listed value of each item up to a total of up to $900.00 to be paid within 30 days.