Mouse Create PD Registration
Mouse Create PD will take place on Friday, October 25, 2019 from 8:30am-3:30pm at 55 Broad Street, Floor 16 New York, NY 10004). Your attendance to the event and access to all materials are free of charge.

Filling out this form does not guarantee registration for the event. We will email to confirm your registration.

Questions? Email educators@mouse.org
About You:
Your full name: *
Your answer
Your preferred email address: *
Your answer
Your preferred phone number: *
Your answer
Your organization or school: *
Your answer
If above is an NYC DOE school, your school's DOE code (Example M123):
Your answer
What is your school or organization's address? *
Your answer
What is your experience with Mouse learning activities? *
What Mouse Courses or projects have you used in the past?
Your answer
Is there any reason you will not be able to attend the full event from 8:35am-3:30pm?
Your answer
I will be using this conference towards my required PD hours and need a letter for the DOE.
What do you hope to take away from this event? *
Your answer
Do you have any dietary restrictions?
Your answer
Any other questions?
Your answer
Your workshop's activities may require you to bring a laptop. Tablets will not work. *
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