School Registration Form

School Division:

School Name:

School Champion:
(school contact person)

Position:
(principal, parent, etc.)

Mailing Address:

City/Town:

Postal Code:

E-mail Address:

Phone Number:

Fax Number:

School Grades:

Action Plan:
(Include a short description of the implementation plan including information on how it meets the criteria and will be organized.)

Partners Involved:
(e.g. community groups, students, parents, school staff, public health, local businesses, etc)

Name	Organization	Phone	E-mail

Language preference for resources

English French

A A A

Printer Friendly