ADDRESS:
E-MAIL ADDRESS
FAVORITE CHARACTER FROM WABO AND IP'S ADVENTURE:

GRADE IN SCHOOL:
FAVORITE SUBJECT IN SCHOOL:

DO YOU LIKE TO GARDEN?
DO YOU LIKE TO SWIM?
DO YOU LIVE BY THE OCEAN?
DO YOU LIVE BY A RIVER OR LAKE?
DO YOU KNOW THERE IS AN EARTH DAY CELEBRATION?

HAVE YOU EVER DONE A COMMUNITY SERVICE ACTIVITY?

CAN YOU THINK OF A NICKNAME FOR YOURSELF THAT IS ABOUT WATER OR AIR?

WHAT IS YOUR NICKNAME?

PLEASE ALLOW SIX WEEKS FOR A MEMBERSHIP CARD TO BE PROCESSED AND MAILED TO YOU AT THE ADDRESS INDICATED ABOVE.