Special Program for Canadian Educators

Please complete the information specified below.

* required information
 

First Name:*
Last Name:*
Position/Title:*
School / Organization:*
School District / Region:*
Address Line 1:*
Address Line 2:
City:*
Province:*
ZIP/Postal Code:*
Country:*
Phone:*
Fax:
Cell Phone:*
Email:*
Please identify any special needs (dietary, etc.):
If you are attending as a team, please list the names of the other members:

$450.00 February 25 & 26, 2013


PLEASE NOTE: Once you click the submit button, you will be prompted for payment, and an automatic confirmation will appear on your screen.

Please do not close your browser prior to this confirmation appearing, it will cancel your submission.

We will contact you to confirm that we received your registration. If you do not hear from us please call (310) 772-7620 to confirm that the registration was received.

You are not registered in the session until you receive a confirmation letter from us.

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