PESIC Registration
Name *
Your answer
Mailing Address *
Your answer
Email Address
Your answer
What is your employment category? *
What is your degree? *
What grades of Physical Education do you currently Teach? *
Which school are you currently working? *
Your answer
How many years have you been teaching? *
Your answer
Please check which membership is most suitable for you? *
Please choose a membership plan *
As part of your PESIC Membership we will forward on your behalf your information to to receive a free membership to our National organization Physical and Health Education Canada. May we forward your information to PHE Canada? *
We now have your Membership Application. Your membership becomes valid when we receive payment. You may also submit payment electronically through pay pal located under MEMBERSHIP on the website OR forward a cheque or Money Order to PESIC C/O Mike Butler 7 Carrigan Place, Manuels, NL, A1W 4E3 . A receipt will be issued upon receipt of payment. *
Your answer
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