EarthTeam
Million Kilowatt Hour Challenge
Student Contact Form

I want to take the challenge! I agree to participate in the following MKHC Action Project (check all that apply):

__MKHC Essay Contest

__Home Energy Audit

__School Energy Audit

__MKHC Poster Blitz

__MKHC Best Poster Contest

__Participation in the Green Business Program

__Other MKHC Action Project (please name _________________________________________________ ).

Student Name (Print) ____________________________________________________________________

Age___________________

Student Address ______________________________________________________________________

City ___________________________________________________________ Zip__________________

Student E-mail _______________________________________________________________________

Student Phone_______________________________________________________________________

School Name ________________________________________________________________________

School County ______________________________________________________________________

School Address _______________________________________________________________________

City ___________________________________________________________ Zip__________________

Student Signature______________________________________________ Date___________________

Return to:
MKHC Student Contact Form
PO Box 4686
Walnut Creek, CA 94956
Fax: (925) 376-1456