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Registration

After filling out the form below and registering your class or school, please check to make sure your school is listed on the “Participating Schools” page to ensure that you have successfully enrolled in the 2023 Promote the Vote Program. If you have registered and your school’s information does not appear or is incorrect, please contact our office at (601) 359-4454.
PTV Registration Form
School Name*(Please include the full school name):
 
 

Name of Contact*: (Please only one registration per class. If registering as a school, please use one registration account)
 
 

Telephone*:
 
 

Grade(s)*:
 
 

Number of Students*(Using numbers, please indicate the number of students you are registering for.):
   
 

School Address*:
 
 
City*:
 
 
State: Mississippi


Zip code* (Enter numbers only):    

How did you hear about Promote The Vote?







E-mail*:

 

Comments:

Note: Your e-mail address is only used for Promote the Vote purposes. You will use this e-mail address to login to your PTV account.