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  We need your help to wake-up

  South Central Wisconsin !

  Every morning, we’ll feature a local classroom in the 15 School Shout Out!

   Here’s how it works!  Fill out the application below.  If you are selected, NBC15 will travel to your child’s school/classroom to record this “Shout Out”.  It will then air the following week on NBC15’s The Morning Show.  This is a great opportunity to showcase your child’s class.

   Teachers and Parents:  We will accept ONE application per classroom.  Urge your principal or a school administrator to fill out the form below for a chance to be part of our 15 School Shout Out!

  We ask that all applications are approved by a principal or school administrator. 

 

1.Name of Principal:
*
2.Elementary School Name: (Elementary Schools Only)
*
3.Town or Village of School:
*
4.Classroom/Teacher Participating:
*
5.School Address:
*
6.School Phone Number:
*
7.School Hours:
*
8.Contact Name:
*
9.Contact Title:
*
10.Contact Phone Number:
*
11.Contact Email:
*
12.Tell us more about your school:
13.Your Name and Relationship to the School
*
14.Please enter your date of birth.
Month* Day* Year*
15.Terms and Conditions
I have read, understand, and agree to the Website usage agreement and privacy policy.
* represents required fields
NBC15 615 Forward Drive Madison, Wisconsin 53711 Business: 608-274-1515 Newsroom: 608-274-1500
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