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Canadian Agriculture Literacy Week Registration Form 2012
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. Register for the 2012 Canadian Agriculture Literacy Week Program
Register for the 2012 Canadian Agriculture Literacy Week Program
Teacher name:
School:
Address:
City/Town:
Postal Code:
Email Address:
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. Grade level(s)
Grade level(s)
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. Number of students in the class
Number of students in the class
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. The Canadian Agriculture Literacy Week program requires 50 - 60 minutes.
Please indicate which of the following days you would have available for this program by placing the number 1 by your first choice, a 2 by your 2nd choice and so on for as many choices as you have available.
The Canadian Agriculture Literacy Week program requires 50 - 60 minutes. Please indicate which of the following days you would have available for this program by placing the number 1 by your first choice, a 2 by your 2nd choice and so on for as many choices as you have available.
Mon. Feb 27 morning
Mon. Feb. 27 afternoon
Tues. Feb. 28 morning
Tues. Feb. 28 afternoon
Wed. Feb. 29 morning
Wed. Feb. 29 afternoon
Thurs. Mar. 1 morning
Thurs. Mar. 1 afternoon
Fri. Mar. 2 morning
Fr. Mar 2 afternoon
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. If you have a specific time available for the program please indicate it below.
If you have a specific time available for the program please indicate it below.
Mon. Feb. 27 morning
Mon. Feb. 27 afternoon
Tues. Feb. 28 morning
Tues. Feb. 28 afternoon
Wed. Feb. 29 morning
Wed. Feb. 29 afternoon
Thurs. Mar. 1 morning
Thurs. Mar. 1 afternoon
Fri. Mar. 2 morning
Fri. Mar. 2 afternoon
Confirmation of your registration will be sent to you by email. Should you need any other information please contact Diane Mauthe at diane@aitc.mb.ca or phone 204-471-9698.
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