KS95 for Kids Radiothon, Childrens Cancer Research Fund, Gillette Children's Specialty Healthcare: KS95 for Kids Radiothon- Change for Kids

Registration and Contact Information

Question - Not Required - School/Business/Organization/Family:

*2.

Question - Required - Expected number of participants collecting change (For Schools - How Many classrooms will be participating?):

Please fill in the contact information below so that we may send the tools necessary for your Change for Kids campaign!

Name:

First Required	Last Required

Email: Required

Street 1: Required

Street 2:

City/State/ZIP:

City Required	State Required	ZIP Required

Phone Number:

Remember me. What's this?

Question - Not Required - Would you like a burlap change collection bag(s)?

Question - Not Required - If yes, how many bags would you like? Typically schools use one bag per classroom.

Question - Not Required - Would you like Change for Kids signs to post?

Question - Not Required - If yes, how many signs would you like?

Question - Not Required - How did you learn about Change for Kids and why did you decide to participate?

Question - Not Required - Presentations about Change for Kids are available to school groups on a first come, first served basis. Would you be interested in a presentation? Yes
No

*10.

Question - Required - Do you plan to turn in your change at the Mall of America on Sunday, February 21st (between 11- 5p.m. at the South Entrance to Nickelodeon Universe)?

	Legal \| Privacy \| Site developed by