alsac/st. jude

Your school's name *
Your name * First Last
Preferred phone number * ### - ### - ####
Please select:
All Star School
Camp you are attending this summer:
When is your team going to camp? MM / DD / YYYY
Your school's address (Sorry, no P.O. Boxes) *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Your email address *
Number of team members: *
How many fundraising letters should we include in your kit? *

(We recommend 5 per student.)
Your Varsity apparel representative (If you know it)
Your Varsity customer number (If you know it)
Do Not Fill This Out