School Name

School Address

City State Zip

School Telephone

School Contact Name


Your Name (if different from above)

Your Title

Your Email

Please designate your peer leaders who will take on this project. Peer Leaders will receive a free Your Skin Is In T-Shirt! For each peer leader, specify their name, email, grade, and shirt size:

Peer Leader 1 Information
Peer Leader 2 Information
Peer Leader 3 Information
Peer Leader 4 Information
Peer Leader 5 Information
Limited number of shirts available. If you have more peer leaders who will like to organize Your Skin Is In at your school, please email with their name, email, grade, high school, and shirt size.

Has your school participated in the Your Skin Is In contest in the past?

Class (Grade) Class Size

How did you hear about Your Skin Is In
Specify if Other

Comments or Questions?


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