Education Program Application

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Education Program Application

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Yes, I would like my school to participate in the 2011 500 Festival and Indianapolis 500 Education Program.

Approximate number of students that will participate:

Number of classrooms participating:

Yes, I would like my school to participate, but have some questions and would like someone to contact me.

Do you have access to a DVD player?

Date

Full School Name:

# of years participated:

County:

Mailing Address:
*No P.O. Boxes, please.

City:

State:

Zip Code:

Phone:

Principal:

Send follow-up info to:

Contact Phone:

E-mail address:

Secondary E-mail address:
Please provide secondary email as many schools do not accept 500 Festival domain as 'safe' user

Fax:

* Please note that Registration is only for the 500 Festival and Indianapolis 500® Education Program. Those registered for the Program will have the opportunity to register for a Study Trip at the Indianapolis Motor Speedway® at a later date. Schools do not have to participate in Study Trips but must register at a later date, in order to participate.