1. Title
2. First name*
3. Last Name*
4. School*
5. Year levels*
6. Address*
7. Suburb*
8. Postcode*
9. Local Council name

   In what local council area is your school situated?

10. Phone*
11. Email*

12. Resources available

    Registered schools will automatically receive a Clean Schools Pack by mail. To order additional resources choose from the list below.

Learning About Litter DVD

Yes

DVD - The Protector

Yes

13. Subscribe to the the Clean Schools newsletter YesNo

* denotes a required field.