Request Access &#8212; smokeSCREEN

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Interested in playing or bringing smokeSCREEN to your school or program?

Qualified organizations, and individuals, will be contacted to set up
authorized accounts to log in and play the game.

NOTE: If the organization/individual wants to try out the game before requesting IDs for their class/school, they may download the smokeSCREEN game for free on the App Store.

Please provide your contact information

Are you a Student?

First Name*

Last Name*

Email*

Is this request for your own household or an organization/school/university?*

What Organization, School or University do you represent?

Name of Organization/ School/University:*

School District:*

City*

State*

Zip*

Country*

What is your role with this organization?*

How many students will be playing the game?*

What is the age range of those you wish to have access?*

Approximate percentage of female students will be using the game? (Enter number 0-100)*

How did you hear about smokeSCREEN?*

Anything else we should know? We're Happy to learn more about you.