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SHAKEmob Challenge Application Form

#SHAKEmob Registration

Sign up below to participate in the #SHAKEmob Challenge!

IMPORTANT DATES:

October 1 #SHAKEmob CHALLENGE OPENS
October 18 GREAT SHAKEOUT DRILL & #SHAKEmob DANCE ACTIVITY
November 16 FINAL DAY TO SUBMIT CHALLENGE MATERIALS
January 2019 REGION WINNERS ANNOUNCED & AWARDS DISTRIBUTED

The #SHAKEmob Challenge is a special opportunity in partnership with the Great California ShakeOut. Completing the application below also registers your site as a ShakeOut participant. You will access #SHAKEmob resources and upload your documentation through your ShakeOut profile.

By submitting below, I confirm that I am authorized to act on behalf of the school / program / organization entered. I agree to abide by the rules of the #SHAKEmob Challenge, submit completed materials within the requested time frame and provide proof of signed media releases for participating students and staff.

 I acknowledge and agree.

Without checking the box above, you will not be able to edit or submit this form.

Please list complete web addresses, such as facebook.com/abcsite or Instagram.com/xyzprogram


Permisssions:

Is it OK to list your name/organization on the ShakeOut website as a participant?
Yes       No
Is it OK to share your information with researchers who are studying ShakeOut activities?
Yes       No
Is it OK to send you e-mail updates about the ShakeOut and the #SHAKEmob Challenge?
Yes       No


Next Steps:

 

 

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