Trillium PD Workshop Registration 2009-2010

Workshop Information
*Workshop Title:
*Workshop Date:

Attendee Information
*Your name:
*Job Title:
*School Board:
*School:
*Your e-mail address:
*Contact Address:
*City:
*Province/State:
*Postal Code:
*Country:
*Telephone (emergencies only):
Special Needs or Dietary Restrictions:
Questions or Comments?:	Note: Any personal information you provide on this form is protected under the Freedom of Information and Protection of Privacy Act. The information will be used by ministry staff to contact you regarding registration. *required field
	PLEASE SCROLL DOWN TO SUBMIT REGISTRATION
Deadline for registration is 2 weeks prior to each workshop date. Cost is $30.00 (unless otherwise specified in workshop description), payable in advance at the address below, at the door by cheque (made payable to Trillium School), or cash. Receipts and certificates will be available at the end of the workshop. Note: Lunch is included in the price. 48 hours advance notice required for cancellation or your school may be invoiced for costs incurred. All workshops will take place at: Trillium Demonstration School 347 Ontario St. South Milton, ON L9T 3X9 (905) 878-2851 phone (905) 878-4278 fax TrilliumPDWorkshops@ontario.ca Questions? Please contact Mary Jeans at (905) 878-2851 ext 320

Trillium - Home