Name of School:
Phone Number:
Primary Contact Person:
Email:
Secondary Contact Person:
Alt Email:
Class #1 - Name of Teacher:
Class #1 - Number of Sturdents:
Class #1 - Grade:
Class #2 - Name of Teacher:
Class #2 - Number of Sturdents:
Class #2 - Grade:
Class #3 - Name of Teacher:
Class #3 - Number of Sturdents:
Class #3 - Grade:
Class #4 - Name of Teacher:
Class #4 - Number of Sturdents:
Class #4 - Grade:
Is there a date your school CANNOT attend? If so, please indicate:
Our school has (Check one):
Never attended Attended more than 3 years ago Attended last year
The primary contact person listed above will be notified as to whether or not your school was selected to attend and which date you have been assigned.
