Emma RNA Saves the Day Coloring Book & mRNA Vaccine Poster

Classroom Coloring Book and/or mRNA Vaccine Poster Registration Form

Please use this form to register your classroom/school for a ScienceLIVE coloring & comic book: Emma RNA Saves the Day!

You can also request our mRNA Vaccine Poster for your classroom/library/health department.

We are happy to be able to provide the coloring book to classrooms explaining the science of the mRNA vaccine (depicted by our heroine, Emma RNA) against the evil-doer, COVID-19, (portrayed by Spike Man). We are hoping to obtain enough funding to provide these to any classrooms/schools and libraries (or nonprofit educational/health services) that want them. Please fill out the form below and we will ship the coloring books to you within a couple of weeks for your classroom(s). These are appropriate for elementary (K-5) students, yet could be distributed to middle school students (6-8) also. If we are unable to provide enough printed hard copies to your classroom, we will notify you and there will be the ability to download each of the pages.

We now have Spanish, Portuguese, Chinese, German, French, and Turkish versions! Please indicate in the numbers below how many (if any) translated versions (ie how many Spanish, Portuguese, etc) coloring books you would like.

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* 1. Please fill out your contact information, including your school, school address for shipping the coloring books, and an email address and/or cell phone, if for some reason we need to reach you.

Name *

School name *

School Address (for shipping of coloring books; please include attn if different from teacher name) *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number

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* 2. Please fill out the pertinent information for your classroom(s), see below.

What grade(s) is this classroom(s)? If requesting for multiple classrooms, please specify grade and how many students per grade.

How many ENGLISH coloring books do you need in total?

How many SPANISH coloring books do you need in total? ¿Cuántos libros para colorear en español necesitas en total?

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* 3. Do you want to request a COVID mRNA Vaccines explained poster for your classroom or clinic? Please note that we have limited availability and may not be able to fulfill all requests for posters.

Yes (1) please

No thank you

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* 4. Have you participated in ScienceLIVE before?

Yes, my previous class(es) have participated.

No, I have not participated in ScienceLIVE before.

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* 5. Where did you hear about the ScienceLIVE program & the Emma RNA coloring books?

Twitter

Facebook or Instagram

UMass Chan Website

Referral from a teacher

Google

WCVB News Story or Newspaper Article

Other (please specify)