1) Contact Person #1 for your group:
     Name: _____________________________________________
     Email address: _________________________________
     Phone number: 1_(___)____________________

2) Contact Person #2 for your group:
     Name: _____________________________________________
     Email address: _________________________________
     Phone number: 1_(___)____________________

3) Your team's name:      ________________________________________________________

4) Your school, youth group, or other affiliation:      ____________________________________________________________
     ____________________________________________________________

5) A snail mail address for your Darfur Challenge group:      ____________________________________________
     ____________________________________________

6) We are in (circle one):     elementary school     middle school     high school

7) There are (#): ____ members in our Darfur Challenge group.

8) How did you find out about the Darfur Challenge?      ____________________________________________________________
     ____________________________________________________________

9) Explain (1-2 sentences) about why your group is taking part in the
     Darfur Challenge.      ____________________________________________________________
     ____________________________________________________________
     ____________________________________________________________

10) Our fundraising goal for the Darfur Challenge (by May 2, 2009) is:       $______________