Region
2 Minot Marketplace for Kids Education Day
Tuesday, April 3, 2012
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, or purchase lunch from Minot State University for $6.50. The Minot State University buffet lunch will be served in the Beaver Creek Café and includes your choice of an entrée and grill option, vegetables, potatoes, pasta, soup and salad bar, dessert bar, and beverage station. A vegetarian option is also available. Pre-registration for lunch is required. Checks should be made payable to Sodexo and paid for in the lunch line. Sack lunches/coolers can be stored in the Dome and eaten in assigned areas.
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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 Marilyn or Stacey at 1-888-384-8410 or 701-663-0150 or email renee.kipp@marketplacend.org
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