PLT registration form Survey

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1. Contact Information

Contact Information First Name:
Last Name:
Address:
City/Town:
Zip:
State:
Phone Number 1:
Phone Number 2:
Email Address:

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2. Date of the workshop for which you are registering:

	MM		DD		YYYY
Date	Date of the workshop for which you are registering: Date Month	/	Day	/	Year

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3. Location of the workshop for which you are registering:

Location of the workshop for which you are registering:

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4. Amount of check being sent to Project Learning Tree, Colorado State Forest Service, 15240 S. Golden Rd. Golden, CO 80401
MAKE CHECK OUT TO CSFS, AND PUT WORKSHOP DATE & LOCATION AT THE BOTTOM OF THE CHECK

Amount of check being sent to Project Learning Tree, Colorado State Forest Service, 15240 S. Golden Rd. Golden, CO 80401 **MAKE CHECK OUT TO CSFS, AND PUT WORKSHOP DATE & LOCATION AT THE BOTTOM OF THE CHECK**

*
5. I understand that the workshop may be cancelled by the instructor if a minimum number of participants have not registered by the deadline, usually one week before the workshop date, and that fees will be returned.

I understand that the workshop may be cancelled by the instructor if a minimum number of participants have not registered by the deadline, usually one week before the workshop date, and that fees will be returned. Yes

No

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6. I understand that this workshop fee is not refundable if I cancel my registration after the deadline, but that it may be applied towards a future Project Learning Tree workshop.

I understand that this workshop fee is not refundable if I cancel my registration after the deadline, but that it may be applied towards a future Project Learning Tree workshop. Yes

No

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7. I understand that fees for university tuition are additional and optional and are to be paid at the workshop if desired.

I understand that fees for university tuition are additional and optional and are to be paid at the workshop if desired. Yes

No

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8. I learned about this workshop from

I learned about this workshop from

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9. With what age/grade level will you be sharing PLT Activities?

With what age/grade level will you be sharing PLT Activities?

10. I have previously attended a PLT workshop.

I have previously attended a PLT workshop. Yes

No

Date?

PLT registration form
Exit this survey

1. PLT Workshop Registration

*
1. Contact Information

*
2. Date of the workshop for which you are registering:

*
3. Location of the workshop for which you are registering:

*
4. Amount of check being sent to Project Learning Tree, Colorado State Forest Service, 15240 S. Golden Rd. Golden, CO 80401
MAKE CHECK OUT TO CSFS, AND PUT WORKSHOP DATE & LOCATION AT THE BOTTOM OF THE CHECK

*
5. I understand that the workshop may be cancelled by the instructor if a minimum number of participants have not registered by the deadline, usually one week before the workshop date, and that fees will be returned.

*
6. I understand that this workshop fee is not refundable if I cancel my registration after the deadline, but that it may be applied towards a future Project Learning Tree workshop.

*
7. I understand that fees for university tuition are additional and optional and are to be paid at the workshop if desired.

*
8. I learned about this workshop from

*
9. With what age/grade level will you be sharing PLT Activities?

10. I have previously attended a PLT workshop.

PLT registration formExit this survey

1. PLT Workshop Registration

*1. Contact Information

*2. Date of the workshop for which you are registering:

*3. Location of the workshop for which you are registering:

*4. Amount of check being sent to Project Learning Tree, Colorado State Forest Service, 15240 S. Golden Rd. Golden, CO 80401**MAKE CHECK OUT TO CSFS, AND PUT WORKSHOP DATE & LOCATION AT THE BOTTOM OF THE CHECK**

*5. I understand that the workshop may be cancelled by the instructor if a minimum number of participants have not registered by the deadline, usually one week before the workshop date, and that fees will be returned.

*6. I understand that this workshop fee is not refundable if I cancel my registration after the deadline, but that it may be applied towards a future Project Learning Tree workshop.

*7. I understand that fees for university tuition are additional and optional and are to be paid at the workshop if desired.

*8. I learned about this workshop from

*9. With what age/grade level will you be sharing PLT Activities?

10. I have previously attended a PLT workshop.

PLT registration form
Exit this survey

*
1. Contact Information

*
2. Date of the workshop for which you are registering:

*
3. Location of the workshop for which you are registering:

*
4. Amount of check being sent to Project Learning Tree, Colorado State Forest Service, 15240 S. Golden Rd. Golden, CO 80401
MAKE CHECK OUT TO CSFS, AND PUT WORKSHOP DATE & LOCATION AT THE BOTTOM OF THE CHECK

*
5. I understand that the workshop may be cancelled by the instructor if a minimum number of participants have not registered by the deadline, usually one week before the workshop date, and that fees will be returned.

*
6. I understand that this workshop fee is not refundable if I cancel my registration after the deadline, but that it may be applied towards a future Project Learning Tree workshop.

*
7. I understand that fees for university tuition are additional and optional and are to be paid at the workshop if desired.

*
8. I learned about this workshop from

*
9. With what age/grade level will you be sharing PLT Activities?