2022-2023 Salmon-in-Schools Registration
Register for the 2022-2023 Salmon-in-Schools Program
*
indicates required
Name:
Email:
Comment:
Email Address
*
First Name
Last Name
Town
*
School Name
Lead Teacher Last Name
Lead Teacher First Name
Phone Number
Emergency Phone Number
School Address
School Town (Mail Address)
School State
Zip Code
Estimated number of students
Number of tanks
Liaison (if known)
Last Stocking Site
Number of buses at stocking site
Liaison help at stocking?
Yes, please!
No thanks!
Notes or comments
Preferred format
HTML
Plain-text
