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Intracoastal Christmas Regatta

School Counselor Information

To ease the job of contacting counselors when we are ready for the toy distribution we ask that you complete the information requested below.  If you would like to volunteer to help with the parade please let us know.

First name:
Last name:
Email address:
School Name
Principal's Name
Address 1:
Address 2:
City:
State:
Zip code:
Phone:
Cell Phone
I can help by volunteering to:
SignatureBy submitting this form I confirm that I am the counselor of school listed above.