We are excited that you are signing your students up for the Plunge into Fitness program. We had record-breaking participation last year and we are looking forward to increased student participation in 2010. Please take a minute to fill out this registration form and then click the submit button at the end of the form.

Teacher Name	School Name
Email	School Phone
School Mailing Address Street Address Line 1          Street Address Line 2 City         State        Zip