Thank you for your interest in the D.A.R.E. myPlaybook program for high school students.
To purchase the program, please fill out the information below. A representative from the D.A.R.E. myPlaybook team will contact you to complete the process.
First Name *
Last Name *
Job Title *
Email *
Phone *
Preferred method of contact *
Email
Phone
City *
State *
School or District Name *
When and where did you receive your D.A.R.E. myPlaybook training? *
If you have not received this training yet, note that here.
Number of D.A.R.E. myPlaybook Licenses
(One license per participating student)
Participating Grades
To select multiple grades, hold down the ctrl key and click
Planned delivery method
Anticipated start date
Anticipated completion date
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