I would like to attend the indicated
videoconferences:
Please fill in the following form
to register for the above listed videoconferences.
When filling out this form, move from box to box
using the TAB key. Do not press the RETURN key. Pressing the return key
will send an incomplete form. If this happens by accident, just start over!
About you:
Name:
School District:
City:
Position:
E-mail:
Area Code:
School Phone Number:
Title I School: Yes
No
Please check all the above information to make sure it is correct
before clicking the "Submit" button.