APPLICATION

If you would like to register for any Reach for the Sky activity,
please complete the following application. You are responsible
for keeping up with the schedule and for your E-mail account.

Name: __________________________________________

School: __________________________________________

Address: __________________________________________

__________________________________________

School Phone and best time to call: _____________________

Fax: ________________________

Home phone and best time to call: ______________________

E-mail Address: ____________________________________

I have ________ (#) students in ________(#) class(es) in the

__________ grade(s).

By sending in this completed form, you are agreeing to participate in the activity and to log on at least twice each week.

Send this Registration Form to the person responsible for the activity.