1. SUBMITTER
   Explanation: The name of the person submitting form; this person will be the primary contact person for the site. You do not need to re-enter this information in the "TEACHER/S INFORMATION" section below.
   
   E-Mail of Submitter:

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2. SITE TYPE
   Explanation: It is not necessary for a whole school to register as one site. There are other possibilities listed below. Chose among them and write what is most appropriate for your site:
   This registration is for:
   1. A single classroom? (in some countries classes are identified by classrooms),
   2. A single class? (in some countries classes are identified by name i.e. class 7a or 7b)'
   3. A single subject? (a teacher of a subject may want to register the students in his or her subject),
   4. A group of classrooms within a school? (for instance, the three 7th grade classes),
   5. An entire school? (all of the eligible grade levels with the school),
   6. A non-classroom student organisation? (for example, a computer club or a library)?

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3. PARTICIPATION
   How do you plan to have your group of pupils participate in the KIDCAFE lists?
   

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   STUDENT INFORMATION
   Please provide the brief information below about the students participating.

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4. AGE RANGE OF STUDENTS: 10 11 12 13 14 15
   Select all that apply.

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5. NUMBER OF STUDENTS (approx.):

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   TEACHER/S INFORMATION

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6. List the teachers or other adult leaders who work with these students in KIDCAFE. For each, give their email address and indicate whether they will be subscribed to KIDCAFE-COORD. Please do not re-enter Submitter's information (see above) here. You, the submitter, are automatically listed as the first Teacher.

   Name of Teacher:
   E-Mail Address:
   

   Name of Teacher:
   E-Mail Address:
   

   Name of Teacher:
   E-Mail Address:
   

   Name of Teacher:
   E-Mail Address:
   

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   TECHNICAL DETAILS

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7. To give you access to the KIDCAFE-SCHOOL Mailing List we require the below information, please be as accurate as possible.
   Send to List Address(es):
   
   
   
   
   
   Explanation: From what address(es) will the kids' messages be sent to KIDCAFE-SCHOOL? If kids have individual accounts and there are too many to list, please contact the KIDCAFE team cafeman@kidlink.org before submitting the form.
   

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8. Receive from List Address(es):
   
   
   
   
   
   Explanation: What address do you want the KIDCAFE-SCHOOL messages sent to?

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   SCHOOL DETAILS:

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9. General information about your school.
   Name:
   Type of School:
   Postal Address:
   
   
   Country:
   State (if US):
   Telephone number:
   Fax number:
   

Lars-Erik Nilsson and the KIDCAFE team