Children's Cancer Research Fund: Survey

Butterfly Bingo

Sign up for Butterfly Bingo! If your class, school or group would like to participate please fill out the form below

*1.

Question - Required - What is the name of the school/class/group participating in Butterfly Bingo?

2.

Please provide your contact info to send materials.

*

Name:

First Required	Last Required

*

Email: Required

*

Street 1: Required

Street 2:

*

City/State/ZIP:

City Required	State Required	ZIP Required

Please send me periodic email updates on the children and the work being supported by Children's Cancer Research Fund

Remember me. What's this?

*3.

Question - Required - Approximately how many students will be participating?

*4.

Question - Required - Children's Cancer Research Fund will send you the stickers you need. All the other components are in PDF form on our website, but we can send them on a CD-ROM if necessary. Will you need a CD-ROM?