Region
2 Minot Marketplace for Kids Education Day - Tuesday, April 13, 2010
Minot State University, Minot, ND
PART 1: CLASS/GROUP REGISTRATION FORM
(Please complete all information!)
Do not use the back button on your browser! Doing so could cause your registration to be lost!
* Denotes a required field!
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| Name of Regional Education Association:* |
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Name
of School/Organization:*
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Grade:* |
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Complete
Mailing Address of School/Organization:*
(your Education Day
Materials
will be mailed to this address)
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City/State/Zip
Code:*
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Title:*
(Miss, Mrs., Ms., Mr.) |
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| Classroom Teacher/Advisor:* |
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More than one teacher registering? |
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| If more than one teacher is registering, please list: |
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Teacher Telephone (Daytime):*
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Teacher
Telephone (Evening):*
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| Teacher Email Address:*
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| Name of Person Completing Form:* |
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Relationship to Classroom (i.e.,
parent, student teacher, etc.)* |
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Person to Call to Verify Information on
Registration Forms:*
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Telephone Number and Best Time to Call:*
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PLEASE
ANSWER THE FOLLOWING QUESTIONS:
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Total Number of Registrants:*
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Do you have any special needs/ADA requirements? |
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Total Number of Students:*
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If yes, please explain: |
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Number of Students Exhibiting a Project:*
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Number of Chaperones:*
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Lunch: Students may bring a sack lunch. A beverage will be provided. A storage area will be available for sack lunches.
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We will bring our
own sack lunch(es). |
Questions?
We want your registration to run smoothly, and we are here to help you!
If you need assistance, or have any questions, please do not hesitate
to contact Renee at 1-888-384-8410 or 701-663-0150 or email marketplace6@btinet.net.
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