2012 National Chemistry Week Educator Training Registration Form
Thank you for your interest in the 2012 National Chemistry Week Educator Training Workshop on Saturday, Oct 20, 2012. Please complete this form and read the confirmation that follows your submission.
First and Last Name
In the event we need to reach you the day of the workshop
Grade(s) currently teaching
I am interested in refreshing my basic chemistry knowledge.
I understand that there is a non-refundable $15 fee due Oct. 10, 2012 to hold my space for the workshop. I also understand that by attending the workshop, I will receive materials worth $100 or more to use in my classroom.
More information regarding fee payment will be sent in the confirmation email.
Yes, I understand
No, I need further clarification
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