School Information
Please provide information for your school below. Note that if you are submitting an inventory for multiple schools, you will do one form for each school.

By participating in this program, your school or child care center is agreeing to make test results available and notify parents, teachers, employee organizations, and other impacted communities as soon as possible but no later than 30 days receiving the results. 
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Contact Person Name *
Contact Person Email *
Contact Person Phone Number *
What is the name of your school? *
What is the address of your school? (Street, City, Zip) *
What School District does your school belong to? *
What is the estimated number of children served by your building? *
What is the estimated number of children under the age of 6 served by your building? *
What year was your building built? *
Where did you find this form?
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