LEEC Symposium Registration

2014 Louisiana Environmental Education Symposium

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2014 Louisiana Environmental Education Symposium
Registration FormEarly Bird Registration Deadline: January 22, 2014Once your registration is confirmed, you will be directed to our secure payment site.

* Required

    Name

    *

    This is a required question

    Preferred Mailing Address (home or work)

    *

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    City

    *

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    State

    *

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    Zip

    *

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    Preferred Phone (home or work)

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    Meal Selection (check all that apply)

    *
    I will be attending

    • Evening Social on Friday
    • Symposium breakfast on Saturday
    • Symposium lunch on Saturday
    • I will not be joining you for meals.

    This is a required question

    Meal type

    Meat Vegetarian I have special dietary needs
    This is a required question

    If you answered "I have special dietary needs" above, please explain.

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    Registration Options

    *

    • Early Bird Registration $35
    • Regular Regsitration $50
    • Pre-service Teacher Registration (university students not teaching) $25
    • OPTIONAL Friday Short Course Session $10

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    Total Registration Fee

    *

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    First Short Course Choice

    • From A to Chimpanzee WORKSHOP and TOUR
    • Bayou Pierre Watershed TOUR
    • Conservation Education Combo WORKSHOP
    • The Bear Necessities WORKSHOP
    • Learning with Nature WORKSHOP

    This is a required question

    Second Short Course Choice

    • From A to Chimpanzee WORKSHOP and TOUR
    • Bayou Pierre Watershed TOUR
    • Conservation Education Combo WORKSHOP
    • The Bear Necessities WORKSHOP
    • Learning with Nature WORKSHOP

    This is a required question

    Third Short Course Choice

    • From A to Chimpanzee WORKSHOP and TOUR
    • Bayou Pierre Watershed TOUR
    • Conservation Education Combo WORKSHOP
    • The Bear Necessities WORKSHOP
    • Learning with Nature WORKSHOP

    This is a required question

    Grade Levels of Interest

    • Pre-school (below 1st)
    • Elementary (1st-4th)
    • Middle School (5th-8th)
    • High School (9th-12th)
    • College
    • Other:

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    Name of Affiliated Organization

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    • School
    • University
    • Agency
    • Other

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