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Canadian Kids with Cameras
Application Form
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Canadian Kids with Cameras
St. Mary/St. Monica Schools
Student Name_____________________________________________________________
Street Address ___________________________________________________________
City ______________________________________________________________________
Province or Territory ____________________________________________________
Postal Code ______________________________________________________________
Telephone (area code)_____________________________________________________
Supervising Technology Coach’s Name _____________________________________
Supervising Technology Coach’s email ______________________________________
Grade level _______________________________________________________________
Project Title _____________________________________________________________
Running Time (1 - 2 min. max) ______________________________________________
Please indicate curriculum area/subject____________________________________
Project Description:_______________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
I declare that this movie has been
created by me ____________________________
(learner signature)
I declare that I assisted by verbal
coaching only _____________________________
(coach's signature)
Mail to:
Kindergarten - Grade Three
St. Monica School
14710 - 53 Avenue
Edmonton, AB
T6H 4C6
Attention: Mrs. C. Vaage
Grade Four - Grade Six
St. Mary School
490 Rhatigan Rd. E.
Edmonton, AB
T6R 2E2
Attention: Mrs. D. D'Agostini