2019 CCLM Fall Event Registration
Please complete the registration form below. Registration Event Fee: $50.00 per person (includes 2019-20 CCLM membership). Make checks payable to CCLM and mail payments to : Elise Archibald, 135 Amherst St, New Britain CT 06053. Thank you for your registration!
Email address *
Name *
Your answer
Work Position *
School/District *
Your answer
Level *
Required
What is your first choice of focus groups? (Please see descriptions in the flyer) *
What is your second choice of focus groups? (Please see descriptions in the flyer) *
What is your third choice of focus groups? (Please see descriptions in the flyer) *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy