Seventh Generation Club 2021-2022 Enrolment

1. Club Coordinator Name (Main Contact - one per school)

2. School / Organization Name

3. Phone

4. Email

5. Additional email (ie. principal, co-coordinator or reception)

6. Full mailing address including postal code

7. How many students will be participating in the Seventh Generation Club?

8. How many student daytimers would your club like (for 2022-2023)

	Junior Daytimer Quantity (age 6 to approx 12) - larger size
	Senior Daytimer Quantity (13 and up) - smaller size
	None thanks!

9. How many student newsletters would your club like?

	Junior Newsletter Quantity (age 6 to approx 12)
	Senior Newsletter (approx 13 and up)
	None thanks!

10. Please feel free to add notes or comments.