Registration Form

 

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Name:
School or Business Name:
School or Business Address:
City:
 , State: Zip:
School or Business Phone:
School or Business Fax:
School or Business Email:

New to MCEE? : 

Rooming Preference:  Single, Double or Not Needed? 

Note:  Rooms are double occupancy unless you specify otherwise. You will be responsible for paying the difference in cost:  $45.00 for a single room.  The MCEE takes care of your room reservations - no need to call the hotel.  If you plan to room with someone specific, both people need to state so in the Subjects Taught section below.

Sustitute Teacher Preference:  1/2 Day, Full Day or Not Needed? 

Event Title (choose one) :

Home Address:
City:
 , State: Zip:
Home Phone:
Home Email:

 

Grade Levels Taught: (Ctrl+ click to choose more than one)

 

Subject(s) Taught with Grade Levels or Profession:

 

 

 

 
   

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