Sunbeatables

Contact Info

* Email

* First Name

* Last Name

* Job title

* Organization/School District

Site/School

* Phone

* City/Town

* State

* Country

* Do you plan to personally teach this program to children in a classroom or other child care setting?

If other, please specify

* What type of provider are you (check all that apply)

If other, please specify

* What type of Ray and the Sunbeatables™ Program will you use?

* Total number of site locations that will participate in the Sunbeatables Program (A site is a building or center with a distinct address)

How many children do you estimate will participate in the Sunbeatables Program?

* Preschool (ages 2-5)

* School age (ages 5-8)

* How did you hear about the Sunbeatables Program?

* Do you currently have a printed Sunbeatables curriculum toolkit?YesNo

Are you working with a Sunbeatables Ambassador? (local community sun safety advocate who enlisted you or your organization to implement the Sunbeatables Program)YesNo

Ambassador name

Ambassador organization

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