Distance Learning Program Request

Use this form to book a distance learning program with PPHM. Our education department will contact you shortly.

First Name

Last Name

Email Address

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Teacher Phone Number

School Name

School Address

State

Grade Level

Number of Students

Program Name Dinostaury Time

Presidents' Day (Jan-Feb only)
Wild and Wacky Weather
Dinomite Dinosaurs
Quanah Parker: Adapting in a World of Change
Home on the Plains: A Bison's Journey
Panhandle Petroleum
A Native American's MVP
The Bedecked Buckaroo
From Boom to Dust
Dia De Los Muertos (Oct & Nov only)
Dinostaury Time

Proposed Date of Program

Proposed Time of Program

Your Time Zone

2nd Choice Date

2nd Choice Time

In accordance with T.A.C. Rule �206.74, with few exceptions, state law gives you the right to request, receive, review and correct information about yourself collected by forms.

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2503 4th Avenue Canyon, Texas 79015 806-651-2244