Group Smokebusters Membership for Teachers of P6 and P7 I wish to enroll my class as a Smokebusters Group and undertake that all those participating are non-smokers and will remain so while involved with the group. Please send me the FREE Group Membership Pack. I understand that our group Membership is valid until the end of the current school year.

Teacher's name:

Class year:  Number of pupils: P6 P7 P6 and P7

Name of school's Educational Health Co-ordinator:

Name of school:

School address:

Postcode:

Telephone number, including area code:

Education and Library Board:

BELB NEELB SEELB SELB WELB

Nearest Teacher's Centre:

How many years have been enrolling your classes in the 'Smokebusters' club?: