Registration Form 2008/09 - Re-registering Schools

Re-register by May 30, 2008 and your school could win one of 3 prizes of $500!

*indicates required fields

1. School Details:
Outlet#:
(office use only)
School Name: *
Address: *
City: *
Postal Code: *
Phone: *
Fax:
Email:
Principal: *
 
Milk Coordinator Information:
Name: *
Phone: *
Email:

2. School Profile
Name of your PAC chair for September 2008:
 
PAC Phone:
PAC Email:
Who is your Milk Coordinator?
Principal Secretary
Vice Principal Parent
Teacher Other
Meals Coordinator specify:

3. Program Information
How many students are enrolled in this school?
(# of students) *
How many students stay for lunch at your school?
(# of students) *
How many students usually participate in the Milk Program?
(# of students) *
List your school's grade range.*
Lowest Grade:
Highest Grade:
How many classrooms are there in your school?
*
Will you have a fridge available to store milk for the Program?
Yes
No
How many times a week will you serve milk?
3
4
5
When will you serve milk?
Breakfast Snack Time
Lunch After School
Does your school have a school store or cafeteria for students?
School Store
Cafeteria
Neither

4. School Meals Program
Does your school have a Meals Program?
Yes
No
How many students participate in the Meals Program?
(# of students)
Who will be able to purchase milk at lunch?
All students
Meals students only

5.* The following questions are to be answered for drinks that do NOT come from a vending machine and are available to students.
Product Available
Yes No
Student Price
White Milk 125mL
Choc Milk 125mL
White Milk 250mL
Choc Milk 250mL
White Milk 350mL
Choc Milk 350mL
Strawberry Milk 350mL
White Milk 500mL
Choc Milk 500mL
Shakes/Other flavoured Milk
100% Juice
Bottled Water
Fruit Drinks
Sport Drinks
Pop
Where will milk be sold in your school?
Milk Program
Meals Program
Vending Machine
Other
Which is the one main payment system you will use for students who buy milk? If you will be using a combination of systems, mark down the next most important one in row "b".
Main
Cash Tickets Card
Prepayment
Weekly Monthly Term
Next Most Important
Cash Tickets Card
Prepayment
Weekly Monthly Term

6. Getting Milk to your school
How will you milk be obtained?
Delivered Picked up
What will be the name of your milk delivery company?
Avalon Landmark
Blackwell Natrel
Dairyland Other
Island Farms
What is the brand name of the milk that will be sold in your school? (name of package)
Number of milk deliveries per week:
How would you rate your milk delivery company overall? (1 is poor and 5 is excellent)
1 2 3 4 5

7.* Milk Consumed
Please provide the volume of milk in units purchased by students at your school as well as the price paid by the school.
February
Product Volume Price
White Milk 125mL
Choc Milk 125mL
White Milk 250mL
Choc Milk 250mL
White Milk 350mL
Other Milk Flavours 350mL
White Milk 500mL
Choc Milk 500mL
April
Product Volume Price
White Milk 125mL
Choc Milk 125mL
White Milk 250mL
Choc Milk 250mL
White Milk 350mL
Other Milk Flavours 350mL
White Milk 500mL
Choc Milk 500mL

8. The following questions are to be answered only for drinks sold to students through vending machines.
Does your school have a drink vending machine(s)?
Yes
No
Who has access to the machine?
Staff only
Staff and students
What drinks does your machine supply?
Milk only
Milk plus other drinks
Other drinks only
Who supplies your vending machine accessible to students?

Yes! Please enrol our school in the ESMP...again!
I agree that the school is solely responsible for the planning and administration of any contest in which program items are awarded and that the BC Dairy Foundation will not be responsible for any liability, loss or damages that may result from the program. I agree that the school will make Milk available to students at lunch time, three (3) or more times per week.
I have fully completed questions 5 and 7. Please enter my school in a draw to win $500.

Full Contest Rules

Any questions?
Call the Moo Crew toll-free at 1-866-582-MILK (6455).


 
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