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1. Default Section

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* 1. Venue Choice (please select one)

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* 2. Date Preference:

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* 3. Teachers Name:

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* 4. School Name:

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* 5. Grade level(s):

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* 6. Total Number of Students:

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* 7. Mailing Address:

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* 8. E-mail Address:

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* 9. Phone Number:

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* 10. Fax Number:

* Please note if your number of students changes prior to the event please advise as this can impact our station activities.

** Sorry, we cannot guarantee date preference. Enrolment is limited. Instructions for the day/event, a list of needed items and resource information will be mailed in May for the Brandon event and in August for the Winnipeg event. Please share this information with other teachers in your school.

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