School Milk
 
 
 
 
 
 
 

Dairy Farmers of Manitoba
School Milk Program 2011 - 2012



 

Fields marked with an asterisk (*) are required.


Please register my school for the *:
Elementary School Program JR/SR High School Program

OR
Both Elementary & JR/SR High School Programs
 
Name, Principal: *
Name, Milk Coordinator: *
School Name: *
School Division: *
School Address: *
City/Town: *
School Telephone: *     Postal Code: *
 
Coordinator’s e-mail address: *
Confirm e-mail address: *
 
Total Student enrollment:        K-4    5-6    7-8    9-12
 
Approximate number of students staying for lunch: Elementary *        JR/SR High *
 
Are you currently serving milk?* Yes       No
 
What brand of milk does the school use? Other Brand:
 
Does your school use a cafeteria service? (Please specify)*
Yes       No
 
Has your school participated in the Milk Program before?* Yes       No
 
RELEASE
Please register our School for the Milk Program. We agree that the School is solely responsible for the planning and administration of any contest in which Program items are awarded and that Dairy Farmers of Manitoba will not be responsible for any liability, loss or damages that may result from the Program or from the Program item. We further agree that the School will make milk available to students at lunch time.

I agree and understand the terms of this Release.*


Please type your name here.*


* Please print your registration form for you records then select submit to complete registration.



After submitting, if you do not get a "Thank you for registering" message, we have not received your registration. If you have any questions or need assistance please contact us at schoolmilk@milk.mb.ca or (204) 488-6455.

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