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Everyone Jump 2008/2009
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Mrs.
Miss
Ms.
First Name:
Last Name:
School:
School Board:
Algoma District School Board
Algonquin and Lakeshore Catholic District School Board
Avon Mailtland District School Board
Bluewater District School Board
Brant Haldimand Catholic Norfolk District School Board
Bruce Grey Catholic District School Board
Catholic District School Board Eastern Ontario
Conseil des écoles catholiques du Centre-Est de l'Ontario
Conseil des écoles publiques de l'Est de l'Ontario
Conseil scolaire de district catholique Centre-Sude
Conseil scolaire de district catholique de l'Est ontarien
Conseil scolaire de district catholique des Aurores boréales
Conseil scolaire de district catholique des écoles catholiques du Sud-Ouest
Conseil scolaire de district catholique des Grandes Rivières
Conseil scolaire de district catholique du Nouvel-Ontario
Conseil scolaire de district catholique Franco-Nord
Conseil scolaire de district du Centre Sud-Ouest
Conseil scolaire de district du Grand Nord de l'Ontario
Conseil scolaire de district du Nord-Est de l'Ontario
District School Board of Niagara
District School Board Ontario North East
Dufferin Peel District School Board
Durham Catholic District School Board
Durham District School Board
Grand Erie District School Board
Greater Essex County District School Board
Halton Catholic District School Board
Halton District School Board
Hamilton Wentworth Catholic District School Board
Hamilton Wentworth District School Board
Hastings Prince Edward District School Board
Huron Perth Catholic District School Board
Huron Superior Catholic District School Board
Kawartha Pine Ridge District School Board
Keewatin Patricia District School Board
Kenora Catholic District School Board
Lakehead District School Board
Lambton Kent District School Board
Limestone District School Board
London District Catholic School Board
Near North District School Board
Niagara Catholic District School Board
Nippissing Parry Sound Catholic District School Board
Northeastern Catholic District School Board
Northwest Catholic District School Board
Other
Ottawa Carleton District School Board
Ottawa Catholic School Board
Peel District School Board
Peterborough Victoria NC Catholic District School Board
Rainbow District School Board
Rainy River District School Board
Renfrew County Catholic District School Board
Renfrew County District School Board
Simcoe County District School Board
Simcoe Muskoka Catholic District School Board
St.Clair Catholic District School Board
Sudbury Catholic District School Board
Superior Greenstone District School Board
Superior North Catholic District School Board
Thames Valley District School Board
Thunder Bay Catholic District School Board
Toronto Catholic District School Board
Toronto District School Board
Trillium Lakes District School Board
Upper Canada District School Board
Upper Grand District School Board
Waterloo Catholic District School Board
Waterloo District School Board
Wellington Catholic District School Board
Windsor Essex Catholic District School Board
York Catholic District School Board
York District School Board
If Other, please specify:
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NS
ON
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Telephone:
Email:
Preferred Method of Communication:
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How many Grade 5 classrooms will be participating in the Educational Challenge?
How many Grade 5 students will be participating in the Educational Challenge?
Which of the following influenced your decision to order Everyone Jump? Please check all that apply
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Information on Ophea’s website (www.ophea.net)
Information provided by Novo Nordisk
Newsletter/Update (e-connection) emailed to me
Promotion mailed to my school
Other, please specify:
By providing Ophea with personal information on this Registration form, you are consenting to Ophea collecting, storing and using it to contact you regarding this order. Ophea does not sell or share any personal information collected with other organizations in accordance with Ophea’s Privacy Policy. To view our Privacy Policy, please go to
http://www.ophea.net/privacy.cfm
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