| Yes, our school is participating in the Alabama Student Mock Election. |
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Name of School System: |
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| Name of School: |
Required |
| School Mailing Address: |
Required |
School Physical Address (if different): |
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| School Phone Number: |
Required |
| School FAX Number: |
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| Grades Offered: |
Required |
| Total # Students |
Required |
| Principal's Name: |
Required |
Principal's Mailing Address:
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Required |
Official Election Coordinator: (if different from Principal) |
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Election Coordinator's Mailing Address:
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| Principal's Email Address: |
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| Coordinator's Email Address: |
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Names & Home Mailing Addresses of Other Teachers who wish to receive Citizenship and Election Mailings:
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| Yes, our school will be represented at the Mock Election Convention on September 17, 2002 at The American Village. We understand that for $5 each (if we register by May 15, 2002) or $7 each (if we register by September 6, 2002), we receive an official American Village Student Mock Election 2002 T-shirt, snacks, drinks, and full privileges of delegates.
We are sending:
# of Adult Chaperones (free and receive no T-shirt.)
# of Student Delegates (at $5 before May 15; $7 after May 15)
T-Shirt sizes:
XL
L
M
S
Child L
Child M
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Please share any questions, comments or suggestions:
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