Virtual Cafe Student Reservations (2014)

Please answer the following questions so we will know who will be visiting the Virtual Cafe from your class.



  1. Grade Level:


  1. Teacher First Name:


  1. Teacher Last Name:


  1. Week of January 13-17
    (no response required for this question)


  1. Student #1 (LastName, FirstName)


  1. Student #2 (LastName, FirstName)


  1. Student #3 (LastName, FirstName)


  1. Student #4 (LastName, FirstName)


  1. Student #5 (LastName, FirstName)
    (2nd-5th Only)


  1. Week of January 21-24
    (no response required for this question)


  1. Student #1 (LastName, FirstName)


  1. Student #2 (LastName, FirstName)


  1. Student #3 (LastName, FirstName)


  1. Student #4 (LastName, FirstName)


  1. Student #5 (LastName, FirstName)
    (2nd-5th Only)


  1. Week of January 27-31
    (no response required for this question)


  1. Student #1 (LastName, FirstName)


  1. Student #2 (LastName, FirstName)


  1. Student #3 (LastName, FirstName)


  1. Student #4 (LastName, FirstName)


  1. Student #5 (LastName, FirstName)
    (2nd-5th Only)


  1. Week of February 3-7
    (no response required for this question)


  1. Student #1 (LastName, FirstName)


  1. Student #2 (LastName, FirstName)


  1. Student #3 (LastName, FirstName)


  1. Student #4 (LastName, FirstName)


  1. Student #5 (LastName, FirstName)
    (2nd-5th Only)


  1. Week of February 10-14
    (no response required for this question)


  1. Student #1 (LastName, FirstName)


  1. Student #2 (LastName, FirstName)


  1. Student #3 (LastName, FirstName)


  1. Student #4 (LastName, FirstName)


  1. Student #5 (LastName, FirstName)
    (2nd-5th Only)


  1. Week of February 17-21
    (no response required for this question)


  1. Student #1 (LastName, FirstName)



  1. Student #2 (LastName, FirstName)



  1. Student #3 (LastName, FirstName)



  1. Student #4 (LastName, FirstName)



  1. Student #5 (LastName, FirstName)
    (2nd-5th Only)