Form

Welcome parents, grandparents, and teachers! Fill out the quick form below to download your parent teacher toolkit. This is important! It will enable us to verify that you are, indeed, a parent/teacher partner, if you earn free air purifiers for your home. (NOTE: We will not ship free air purifiers to anyone who is not listed in our database as a parent-teacher partner.)

Your First Name*

Your Last Name*

Email*

Your phone number

Your school name? (Where you'll be advocating for clean air)*

Is your school public or private?*

Public

Private

Is anyone working with you to advocate for clean air at this school? If so write their name below, so they can earn incentives too.

In which state is your school located? (So we can provide you with state specific info)*

In which city is your school located?*

What is the name of your school district?*

If you would like to receive already printed materials to take to your school, please provide us with your complete mailing address.

I agree to receive correspondence from Austin Air Systems.*