Club TUKI Classroom Edition

Please fill out this form and we will set up your special classroom account within 48 hours. QUESTIONS? Please call 760-233-2863

Your Name * First Last
Your Primary Email *
Daytime Phone - (###) - ### ####
Name of Your School *
School Principal's Name * First Last
How many classrooms would you like an account for?
How many children are in your class that will participate? *
Would you be interested in earning some extra income with our affiliate program? * Yes I would No thanks I need more info please
Would you be interested in helping us create curriculum that could be downloaded from the teachers area on ClubTUKI.com? * Yes I would No thanks I need more info please
Do you currently have Internet Safety curriculum that you teach in your classroom? * Yes No
Please upload your current Internet Safety curriculum for our review.

This is NOT required. Only if it is handy we would love to review the information.
Please share any thoughts, comments and/or suggestions.