Region
1 Williston Marketplace for Kids Education Day - April 20, 2010
Williston State College - Williston, 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 Williston State College for $4.00 per person. Lunch from Williston State College will include: A hamburger, chips, apple, and bottle of water. Lunches can be eaten in the old gymnasium at Williston State College. Sack lunches and coolers can be stored in the old gymnasium at Williston State College.
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We will bring our
own sack lunch(es). |
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We will purchase lunches from Williston State College. |
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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