Name:

School Name:

School Address:

City:

State:

Zip:

Country:

Telephone:

Email:

Are you an MENC member?
Yes
No

Did you watch the WLC on your local public access television station?
Yes
No

Did you purchase the WLC DVD and show in your classroom?
Yes
No

Did you participate on March 13, 2008 at 1:00 p.m. ET?
Yes
No

If no, when did your school participate? (Not required)

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