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2021 Holiday Campaign Registration Form
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* Indicates required question
Name of Your School or Youth Group:
*
Your answer
School or Youth Group Address:
*
This is the address we will use to ship your materials to you.
Your answer
School or Youth Group Telephone Number:
*
Your answer
Number of Students in Your Club/ Youth Group:
*
Your answer
Number of Male Students Your Club/ Youth Group:
*
Your answer
Number of Female Students in Your Club/ Youth Group:
*
Your answer
Adult Contact:
*
This should be the person assisting students with the campaign.
Your answer
Adult Contact Telephone Number:
*
Your answer
Adult Contact Email Address:
*
Your answer
If a school, what is your school's current student enrollment?
*
If you are youth group, please provide the estimated total number of students in your youth group.
Your answer
How many "There's SNOW place like home. Drive Responsibly" snowman ornaments would you like to order?
*
0
50 (Max quantity for middle schools)
100 (Max quantity for high schools)
How many Jingle Your Way to a Safe Holiday Banners would you like to order?
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0
1
How many Jingle Your Way to a Safe Holiday Posters would you like to order?
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0
10
15
25
How many Reminder to Vote Cards would you like to order?
*
These cards can be used to promote the Jingle Contest! Your students can use them to direct people where to vote once public voting opens for the top six jingle entries in the middle and high school divisions!
0
25
50
100
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