LSTA Region III Workshop July 16, 2019 Registration Form
LSTA Region III Workshop "Phenomena: The Enigma of Science Education" will be held Tuesday, July 16, 2019 at Terrebonne Parish Library - NORTH BRANCH located at 4130 W Park Ave, Gray, LA 70359 from 9:00-1:00 PM. Doors will open and sign-in will begin at 9:00 AM. This workshop is FREE to active members of LSTA. Inactive and non-members may register and pay their membership fee on-site (1 year membership is $15; exact cash or check will be accepted). Space is limited and will be first-come, first served.

Please complete the following information below to register for the LSTA Region III workshop.

If you have any questions, please contact LSTA Region III Representative, Tammy Brouillette at tammybrouillette@tpsd.org.

Email address *
Membership Status (check one) *
1 year membership ($15), 3 year membership ($40) Membership forms are available online (https://lsta.info/resources/Documents/LSTAMembershipform.pdf). Printed copies will be available at the workshop sign-in table.
Required
First Name *
Your answer
Last Name *
Your answer
School *
Your answer
District *
Grade Band You Teach or Role You Serve *
Years teaching science *
Please select any previous trainings you have attended addressing the LSS for Science. (Check all that apply.) *
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By typing your name below you understand you are registering for the LSTA Region III Workshop that will be held Tuesday, July 16, 2019 at the Terrebonne Parish Library - NORTH BRANCH located at 4130 W Park Ave, Gray, LA 70359 from 9:00-1:00 PM. Sign-in will begin at 9:00 AM. *
(In the event you would like to un-register for the workshop, please contact Tammy Brouillette at tammybrouillette@tpsd.org.)
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A copy of your responses will be emailed to the address you provided.
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