Form

Secondary Program Materials Loan Agreement and Contact Info Update 2019-20

If you are a teacher wishing to participate in the Splash Secondary Program during 2019-20, 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.

Please add any comments here. If your binders are old and in need of some TLC, please let us know and we will arrange to exchange them for a new set.

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