2017 Malheur Summer Institute Registration Form
Please provide the following contact information, dates of attendance, and registration for exceptions (Bus Driver Training). All other sessions are first come first serve. First Aid CPR will have AM/PM sessions each day with a 20 person maximum, first come, first serve. Please reference the MSI flyer for times/descriptions.

If you plan to attend the Bal-A-Vis-X session you will need to also register here: http://www.malesd.k12.or.us/workshops/2673/bal-vis-x-training . (There is a limited number of spots that will fill up rapidly.)

State
Last Name
Your answer
First Name
Your answer
Email Address
Your answer
Address
Your answer
City
Your answer
Zip Code
Your answer
Phone Number
Your answer
School District
If no school district write none. If local service provider, please write the agency or daycare name.
Your answer
Will you attend any sessions on Monday, July 24th?
This is for lunch count purposes.
Will you attend any sessions on Tuesday, July 25th?
This is for lunch count purposes.
Will you attend any sessions on Wednesday, July 26th?
This is for lunch count purposes.
Class registration exceptions.
Yes-Attending
No-Not Attending
Bus Driver Training (Tues July 25th) Location TBD
Submit
Never submit passwords through Google Forms.
This form was created inside of Eastern Oregon University. Report Abuse - Terms of Service - Additional Terms