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Join the Program - SunWise Registration Form

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To participate in the SunWise Program, please complete the registration form below. If you cannot use this online registration form, you may register by mail using a form that you download and print. (Registration form (PDF), 1 page, 79 K, About PDF) Please contact us if you have questions about registration or the SunWise Program.

Information collection via this form is authorized by OMB Control No. 2060-0439. Please see our privacy policy.

Please select your role

You are employed in a public or private school with grades K-8 (see below for home school)

You are associated with a public or private school (see below for home school)

  • (state PTA officers, please choose Other below and specify "State PTA")
  • *
  • *

You teach children in another setting

  • *
  •  — Institutions serving children —
  • *
  •  — Community and national organizations —
  •  — Individuals —
  • (not a student teacher)
  •  — Other —

* Some participants receive a CD of SunWise educational materials instead of printed materials.

Please select the state and county in which you perform your role

Select a state, then click the Get county list button to see a list of counties in that state.

  County:

 

 

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