Teaching in the Outdoor Classroom Workshop
Name
First Name
Last Name
Gender
Male
Female
Other
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School or Site Name
Country
Daytime Phone Number
-
Area Code
Phone Number
School or Work Phone Number
-
Area Code
Phone Number
Emergency Contact
First Name
Last Name
Emergency Contact Phone Number
-
Area Code
Phone Number
Personal Email
example@example.com
School or Work Email
example@example.com
Grade level(s) you teach or lead. Please describe:
Academic Subject(s) you teach or topics you lead. Please Describe:
Do you have any special needs we need to be aware of?
Dorm housing Needed? Check in date and time will be Sunday, June 23, 7:00 PM, please include what dates you will stay in the dorms (Sunday, Monday, Tuesday, Wednesday)
Anything else we should know about you?
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Workshop Payment
$
40.00
Fees will be refunded less handling fee of $5.00 if cancellation is received by June 17. After June 19 there will be no refund. If you need to cancel let Liz know by calling 218-998-4488 or emailing friendspwlc@gmail.com as soon as possible. Thank you.
Dorm Housing
$
35.00
If you would like to stay at the PWLC dormitory during the Teaching in the Outdoor Classroom Workshop there is a $35.00 fee.
Total
$
0.00
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