SURVIVE AND THRIVE in a Combined Grade Classroom

April 26, 2018 5:00 p.m. - 7:00 p.m.
Kemptville P. S, Kemptville, Ontario
REMOTE SITE:  Viscount Alexander P. S., Cornwall, Ontario

Name: (Last, First)

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* 1. Name: (Last, First)

Email address:

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* 2. Email address:

Telephone number:

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* 3. Telephone number:

Your worksite:

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* 4. Your worksite:

Workshop Location

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* 5. Workshop Location

ACCESSIBILITY NEEDS: check all that apply

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* 6. ACCESSIBILITY NEEDS: check all that apply

ACCESSIBILITY NEEDS: check all that apply

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* 7. ACCESSIBILITY NEEDS: check all that apply

ACCESSIBILITY NEEDS: check all that apply

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* 8. ACCESSIBILITY NEEDS: check all that apply

Other information

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* 9. Other information

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