Membership Enrollment Form 1 Membership Enrollment 1 School Enrollment 2 Tell Us About Your School3 Payment4 Your Team (1/2)5 Your Team (2/2) School InformationIn this section please fill out your School/Organization's contact information. Thank you.School Name*School Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country School Phone*Account AdministratorIn this section please fill out the information for the person who will be responsible for managing your account. Thank you. Include the mailing address only if different from the school's.Name* First Last Email* PhoneAddress is same as school's - If the same please skip the next address section. Mailing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Billing AdministratorIn this section please fill out the information for the person who will be responsible for your school's billing and renewals. Thank you. Include the mailing address only if different from the school's.Name* First Last Email* PhoneAddress is same as school's - If the same please skip the next address section. Mailing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Include mailing address only if different from the school's. Now SCL would like to receive more information about your school. This gives us a better picture of the school's in our society and how we can best serve them.Year Founded*Total Enrollment*Grades (Lowest to Highest)*Number of Full-Time Employees*Type of School* 5 Day 4 Day University Online Cottage Other Select all that apply.If "Other" Please Specify:School Website*List by acronym the membership organizations to which your school belongs:* PLEASE FOLLOW THE FOLLOWING INSTRUCTIONS:1) You chose "Option 1," which means your school's budget is less than $1.6 million.2) If this is correct, please click the agreement checkbox below. SCL will send you a payment invoice for $240 within 48 hours. 3) Then, click "NEXT" and continue filling out your enrollment forms for your team. THANK YOUAgreement for Payment Invoice* I agree that my school's budget is less than $1.6 million and will pay $240 as SCL Membership Dues. The following two sections are all about registering YOUR TEAM to have access to all of SCL's Membership Benefits. PLEASE FILL OUT YOUR ENTIRE TEAM NOW! If you wish to register more please contact Marissa Yanaga. Thank you.Role at SchoolHead of SchoolBoard ChairBoard MemberUpper School HeadLogic School HeadGrammar School HeadMarketing & Admissions DirectorDevelopment DirectorAcademic DeanCollege AdvisorAthletic DirectorDean of StudentsDepartment ChairLead TeacherOtherName First Last Email Role at SchoolHead of SchoolBoard ChairBoard MemberUpper School HeadLogic School HeadGrammar School HeadMarketing & Admissions DirectorDevelopment DirectorAcademic DeanCollege AdvisorAthletic DirectorDean of StudentsDepartment ChairLead TeacherOtherName First Last Email Role at SchoolHead of SchoolBoard ChairBoard MemberUpper School HeadLogic School HeadGrammar School HeadMarketing & Admissions DirectorDevelopment DirectorAcademic DeanCollege AdvisorAthletic DirectorDean of StudentsDepartment ChairLead TeacherOtherName First Last Email Role at SchoolHead of SchoolBoard ChairBoard MemberUpper School HeadLogic School HeadGrammar School HeadMarketing & Admissions DirectorDevelopment DirectorAcademic DeanCollege AdvisorAthletic DirectorDean of StudentsDepartment ChairLead TeacherOtherName First Last Email Role at SchoolHead of SchoolBoard ChairBoard MemberUpper School HeadLogic School HeadGrammar School HeadMarketing & Admissions DirectorDevelopment DirectorAcademic DeanCollege AdvisorAthletic DirectorDean of StudentsDepartment ChairLead TeacherOtherName First Last Email Role at SchoolHead of SchoolBoard ChairBoard MemberUpper School HeadLogic School HeadGrammar School HeadMarketing & Admissions DirectorDevelopment DirectorAcademic DeanCollege AdvisorAthletic DirectorDean of StudentsDepartment ChairLead TeacherOtherName First Last Email Role at SchoolHead of SchoolBoard ChairBoard MemberUpper School HeadLogic School HeadGrammar School HeadMarketing & Admissions DirectorDevelopment DirectorAcademic DeanCollege AdvisorAthletic DirectorDean of StudentsDepartment ChairLead TeacherOtherName First Last Email Role at SchoolHead of SchoolBoard ChairBoard MemberUpper School HeadLogic School HeadGrammar School HeadMarketing & Admissions DirectorDevelopment DirectorAcademic DeanCollege AdvisorAthletic DirectorDean of StudentsDepartment ChairLead TeacherOtherName First Last Email Role at SchoolHead of SchoolBoard ChairBoard MemberUpper School HeadLogic School HeadGrammar School HeadMarketing & Admissions DirectorDevelopment DirectorAcademic DeanCollege AdvisorAthletic DirectorDean of StudentsDepartment ChairLead TeacherOtherName First Last Email Role at SchoolHead of SchoolBoard ChairBoard MemberUpper School HeadLogic School HeadGrammar School HeadMarketing & Admissions DirectorDevelopment DirectorAcademic DeanCollege AdvisorAthletic DirectorDean of StudentsDepartment ChairLead TeacherOtherName First Last Email Continue enrolling YOUR TEAM here. If you wish to register more please contact Marissa Yanaga. Thank you.Role at SchoolHead of SchoolBoard ChairBoard MemberUpper School HeadLogic School HeadGrammar School HeadMarketing & Admissions DirectorDevelopment DirectorAcademic DeanCollege AdvisorAthletic DirectorDean of StudentsDepartment ChairLead TeacherOtherName First Last Email Role at SchoolHead of SchoolBoard ChairBoard MemberUpper School HeadLogic School HeadGrammar School HeadMarketing & Admissions DirectorDevelopment DirectorAcademic DeanCollege AdvisorAthletic DirectorDean of StudentsDepartment ChairLead TeacherOtherName First Last Email Role at SchoolHead of SchoolBoard ChairBoard MemberUpper School HeadLogic School HeadGrammar School HeadMarketing & Admissions DirectorDevelopment DirectorAcademic DeanCollege AdvisorAthletic DirectorDean of StudentsDepartment ChairLead TeacherOtherName First Last Email Role at SchoolHead of SchoolBoard ChairBoard MemberUpper School HeadLogic School HeadGrammar School HeadMarketing & Admissions DirectorDevelopment DirectorAcademic DeanCollege AdvisorAthletic DirectorDean of StudentsDepartment ChairLead TeacherOtherName First Last Email Role at SchoolHead of SchoolBoard ChairBoard MemberUpper School HeadLogic School HeadGrammar School HeadMarketing & Admissions DirectorDevelopment DirectorAcademic DeanCollege AdvisorAthletic DirectorDean of StudentsDepartment ChairLead TeacherOtherName First Last Email Role at SchoolHead of SchoolBoard ChairBoard MemberUpper School HeadLogic School HeadGrammar School HeadMarketing & Admissions DirectorDevelopment DirectorAcademic DeanCollege AdvisorAthletic DirectorDean of StudentsDepartment ChairLead TeacherOtherName First Last Email Role at SchoolHead of SchoolBoard ChairBoard MemberUpper School HeadLogic School HeadGrammar School HeadMarketing & Admissions DirectorDevelopment DirectorAcademic DeanCollege AdvisorAthletic DirectorDean of StudentsDepartment ChairLead TeacherOtherName First Last Email Role at SchoolHead of SchoolBoard ChairBoard MemberUpper School HeadLogic School HeadGrammar School HeadMarketing & Admissions DirectorDevelopment DirectorAcademic DeanCollege AdvisorAthletic DirectorDean of StudentsDepartment ChairLead TeacherOtherName First Last Email Role at SchoolHead of SchoolBoard ChairBoard MemberUpper School HeadLogic School HeadGrammar School HeadMarketing & Admissions DirectorDevelopment DirectorAcademic DeanCollege AdvisorAthletic DirectorDean of StudentsDepartment ChairLead TeacherOtherName First Last Email Role at SchoolHead of SchoolBoard ChairBoard MemberUpper School HeadLogic School HeadGrammar School HeadMarketing & Admissions DirectorDevelopment DirectorAcademic DeanCollege AdvisorAthletic DirectorDean of StudentsDepartment ChairLead TeacherOtherName First Last Email