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School Wipe Out Waste Program Registration

* Required fields


School Name*
Contact Teacher*
School Address*
School Surburb*
Telephone*
Email*
Please indicate how many classes for each grade
Prep
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Composite Classes (Please list)
Other
Preferred dates for participation in the Wipe Out Waste program
Date 1
Date 2
Date 3
Every attempt will be made to meet your preferred booking date however this may not always be possible.

An email will be sent to you to confirm receipt of registration form.

Should you require any further information please do not hesitate to contact the program coordinator, Toni Lee, on 07 5581 6855
Additional Comments

The personal information collected is for the purposes of administering the Wipe Out Waste program only.

Next page: For the Wipe Out Waste Challenge - Print this page - Updated on: Friday 20-May-11