Thank you for your interest in the Asynchronous PAX Good Behavior Game Online Training. 

Each participant must provide their own registration information and complete all 13 modules within 2 weeks in order to obtain credit for the course.

If you have any questions about this training you can email the Texas PAX Team at paxgbg@esc13.net.

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* 1. First Name

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* 2. Last Name

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* 3. Email Address (Please use all lowercase letters.)

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* 4. Position

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* 5. What gender do you identify as?

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* 6. Race/Ethnicity:

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* 7. School District (please use complete name)

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* 8. School Name

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* 9. School County

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* 10. ESC Region (Education Service Center)

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* 11. Is Your School Title 1?

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* 12. How many students do you serve?

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* 13. Which age groups do you teach? (Pick all that apply)

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* 14. Where do you want your training materials sent? (No P.O. Boxes please)

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