School Name: 
Group Name:     Number of Students in your School:
Your Name: 
Your Group Title:  PLEASE CHOOSE ONE I AM THE HOLIDAY SHOP CHAIRPERSON I AM THE FUND RAISING CHAIRPERSON I AM THE GROUP PRESIDENT I AM A GROUP OFFICER I AM A TEACHER IN THE SCHOOL I AM THE PRINCIPAL AT THE SCHOOL I AM A PARENT MEMBER OF THE GROUP I AM A STUDENT
Mailing Address: 
City:     State:   Zip: 
Phone Number (Including Area Code): 
Email Address: 
Please send information pack for our next meeting: 

When is your meeting that you need this information for? 

Did you group do a Holiday Shop Last Year?  YES NO
If so, with whom? 
Would you like someone to contact you about the Kids' Korner Gift Shoppes® Program?  YES NO
If yes, what is the best time to call you?  PLEASE CHOOSE ONE BEFORE NOON AFTERNOON BEFORE 5:00 PM AFTER 5:00 PM

How did you hear about us?  PLEASE CHOOSE ONE GOOGLE SEARCH YAHOO SEARCH MSN SEARCH WEB FUND RAISING DIRECTORY WEB BANNER ADVERTISMENT PTO TODAY WEB SITE FROM A PREVIOUS CHAIRPERSON FROM ONE OF YOUR MAILINGS FROM OUR SCHOOL FROM A FLYER BROUGHT HOME

Does your School do a Carnival for the Children?  NO YES - IN SPRING YES - IN FALL