2018/2019 Club Enrolment and Daytimer Numbers

Club Coordinator Name (Main Contact)

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* Club Coordinator Name (Main Contact)

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* Email

School/Club Name

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* School/Club Name

Street Address

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* Street Address

Town

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* Town

Postal Code

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* Postal Code

Phone

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* Phone

How many students will be participating in the Seventh Generation Club in 2018/2019?

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* How many students will be participating in the Seventh Generation Club in 2018/2019?

If you would like to receive student daytimers for the next school year (2018-2019), how many? (limits may apply - especially if your numbers vary greatly from the previous year)

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* If you would like to receive student daytimers for the next school year (2018-2019), how many? (limits may apply - especially if your numbers vary greatly from the previous year)

Junior Daytimers (Age 6-11)

Senior Daytimer (Age 12 and up)

If you would like to receive student newsletters, how many?

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* If you would like to receive student newsletters, how many?

Junior Newsletter (Age 6-11)

Senior Newsletter (Age 12 and up)

Comments (optional)

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* Club Coordinator Name (Main Contact)

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* Email

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* School/Club Name

Question Title

* Street Address

Question Title

* Town

Question Title

* Postal Code

Question Title

* Phone

Question Title

* How many students will be participating in the Seventh Generation Club in 2018/2019?

Question Title

* If you would like to receive student daytimers for the next school year (2018-2019), how many? (limits may apply - especially if your numbers vary greatly from the previous year)

Question Title

* If you would like to receive student newsletters, how many?

Question Title

* Comments (optional)