School Flag Program Registration Form

Name of School:
Grade Levels:
School Address:
City:
State:
Zip Code:
County:
School Telephone:
*Name of School Flag Coordinator(s) (separate using commas)
*Flag Coordinator E-mail Address:
*Flag Coordinator Telephone:
Is this a new or an existing program?

*If the Flag Coordinator changes, please send the new name and contact information to Donna Rogers at rogers.donna@epa.gov