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National TOT Registration Form |
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| ____ | I want to register for the
August, 2012 Training of Trainers for Grades K-6 (Face-to-face training August 7-9. Plus advance work online) |
| ____ | Enclosed is my payment/purchase order for $___________. ($975* per participant) |
| ____ | I am a Michigan Trainer and have been in contact with my Regional Health Coordinator regarding this training and scholarship to attend. |
| ____ | Payment or a purchase order will be mailed. I understand that my registration is not confirmed until payment is received by the EMC. |
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School/Organization: _______________________________ Address: ________________________________________ City/State/Zip: ____________________________________ Telephone: ( ) _________________________________ FAX: ( ) ______________________________________ e-mail address: ___________________________________ Telephone number during summer months: Special Diet requirements __________________________ (i.e. vegetarian, food allergies, etc.) |
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| *Registration fee includes training, training materials, lunch and morning and afternoon breaks each day of training. Individuals are responsible for all other meals, lodging and travel. | |
Copyright 2012 Educational Materials Center
Last revised:
June 08, 2012