Registration form - 2010

School name

Postal address line 1

Postal address line 2

Suburb

State/Territory

Postcode

Contact name

To what extent do you anticipate being involved in Reach for the Stars 2010?

How did you hear about this activity?

If media and/or other organisations are seeking information about participating schools, would you be interested in being included on a list of schools which may be contacted?

If you answered Yes to the previous question, which types of contact would you be prepared to receive? (Select as many options as you like - feel free to include any comments or caveats in the text box below)

Any comments or clarifications