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Enrollment Instructions

Thank you for your interest in the TinCaps Reading Program!
 
Please complete this enrollment form in its entirety in order to have your school's form be accepted by the TinCaps. Be sure to double check spelling and avoid any "autofill" features. If you have any questions as you complete this form, please contact Blaine with the TinCaps at (260) 407-2837.

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* School Name

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* County

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* School District

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* School Mailing Address

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* City

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* State

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* ZIP Code

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* School Phone Number

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* Contact Person

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* Contact Person's Email

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* Estimated Number of Students

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* Estimated Number of Classrooms

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* Number of Teachers/Librarians/Principals assisting with the program

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