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Water Festival School Registration

Butler County Children's Water Festival
Friday October 15, 2010
Miami University's Hamilton Campus

Thank you for registering your school for the 2009 Children's Water Fest! Please fill out the following form by September 4, 2009. We are looking forward to seeing you all then!

SCHOOL INFORMATION
School Name:
Address:
City:
State:
Zip Code:
Phone Number:
Principal:

CONTACT INFORMATION
Contact Person:
Position:
Email Address:

TEACHER INFORMATION
What grade is coming:
What are the hours of your regular school day?	From: To:

Teachers' Names	Phone Number	# of Students/Chaperones

Do any of your students require special needs Yes No

If so, what kind?

If you have any further questions about this registration form, please call Lynn White at 513-785-6666 or Tim McLelland at 383-3162.