School Name

School Address

City State Zip

School Telephone

School Contact Name


Your Name (if different from above)

Your Title

Your Email

Please designate your peer leaders who will take on this project. Peer Leaders will receive a free Your Skin Is In T-Shirt! For each peer leader, specify their name, email, grade, and shirt size:

Peer Leader 1 Information
Peer Leader 2 Information
Peer Leader 3 Information
Peer Leader 4 Information
Peer Leader 5 Information
Limited number of shirts available. If you have more peer leaders who will like to organize Your Skin Is In at your school, please email with their name, email, grade, high school, and shirt size.

Method of Collecting Pledges

**New this year! Take the pledge online to received your unique referral link and a chance to win more prizes!**

Has your school participated in the Your Skin Is In contest in the past?

Class (Grade) Class Size

Would you like additional materials to help you promote Your Skin Is In at your school? (If you select yes, you will be contacted by MFNE) There is no charge for materials and services.

Posters Speaker
Video UV Facial Scanner (what is this?)

How did you hear about Your Skin Is In
    Specify if Other

Comments or Questions?