Beginning Teachers’ Symposium
Registration Form
October 2 – 3, 2009
Auditorium, McMaster House

Please complete and forward to Judy Berard.    Please note: In order to complete the registration process, a cheque for $25 must be submitted. It will be refunded at the end of the two-day symposium, provided you attend. Substitute, travel and accommodation costs are the responsibility of the registrant.

Cheques to be made payable to The Manitoba Teachers’ Society.

Name:_____________________________________________________________________________

School:____________________________________________________________________________

 Position:___________________________________________________________________________

Years of Experience:  ________________________________________________________________

Home Address:_____________________________________________________________________
                                                    Street /  PO                                                                   City
Postal Code: _______________________________

Home phone:_________________________          E-mail:___________________________________

Food Allergies / Restrictions:  _______________________________________________________
(if you are a vegetarian / vegan, please indicate whether you eat chicken, dairy, eggs, etc.)                

 

SIGNATURE: _________________________________

 

PLEASE RETURN TO:

Judy Berard
c/o The Manitoba Teachers’ Society
191 Harcourt Street
Winnipeg MB   R3J 3H2