School Name:
Address:
City:
State:
Zip:
Office Phone:
Fax:
School Principal:
Junior Sponsor/Advisor:
Jr. Sponsor Email:
Jr. Sponsor Address:
City:
State:
Zip:
Jr. Sponsor Home Phone*:
Cell Phone*:
(* for emergency use only)
Junior Class President:
Jr. Class President Email:
Number Attending
(Maximum of 2 - Junior Class Sponsors,
4 Junior Officers (Maximum of 6 per school total):
We would like to spend the night:
Yes
No
Number of Rooms:
Overnight Date (MM/DD/YY):
Have you ever worked with us before?
Yes
No
If so, who was your coordinator?
Price for 6 people attending event only $10 per school
Price for spending the night (2 rooms) $150 per school