Iowa Academy of Family Physicians
100 East Grand, Suite 170 | Des Moines, IA 50309-1800
Phone: (515) 283-9370; Toll-free: 1-800-283-9370
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Tar Wars

Tar Wars Participation Application

If your school would like to participate in Tar Wars, please submit the following form.

* denotes required field

First Name: * 
Last Name: * 
School: * 
Address: * 
City / State / Zip Code: *   / /
Phone: * 
Fax:   
E-mail: * 
How many 4th/5th grade classes?:   
Approx. # of students for Tar Wars?:   
We have a presenter: *  Yes No
If "Yes" who?:   
If "No" your state coordinator will work on
finding a presenter for your school.
If a presenter is unable to come to your school, would you have access to an ICN site to view a presentation remotely?: *  Yes No
 
   
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