Please tell us more about your role and how you will use Discover Dairy.  This will help us tell the story of how Discover Dairy is being used to those who support this program, making it possible to offer it at no cost to you! Once you have completed this form, you can click here to login.

All fields are required.

First Name

Last Name

School Name

School District

Street Address

City, State and Zip Code

County

Phone Number

Email Address

Are you a teacher?
YesNo

If no, what is your role?

How do you plan to use Discover Dairy?
Teaching in ClassroomEducating Youth Group (4-H or other)Using as a ReferenceOther

Indicate grade level of student(s) using curriculum:
K - 2nd3rd - 5th6th - 8th9th12th

Indicate number of students influenced: