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BlendEd Symposium 2019
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Please submit the following Registration Form in order to join us on Wednesday June 12 - Thursday June 13, 2019.
Your full name:
*
Your answer
Your email address:
*
Your answer
Your summer mailing address (for member-school stipend-eligible participants only):
Your answer
Your school:
*
Athenian
Branson
College Prep
Lick-Wilmerding
Marin Academy
Urban
Other:
Which days will you attend?
*
Both days (6/12-6/13)
Just Wednesday 6/12
Just Thursday 6/13
Other:
If you had 2-3 minutes to briefly show off an example of student work you are proud of or recommend a tool you find useful, what would you be willing to share with the group?
Your answer
Any dietary preferences? (Select any/all that apply.)
*
Omnivore
Vegetarian
Vegan
Gluten Free
Nut Free
Dairy Free
Other:
Required
Any happy hour preferences ? (Select any/all that apply.)
*
Beer (dark)
Beer (light)
Bubbly
Non-alcoholic
Wine (red)
Wine (rosé)
Wine (white)
Other:
Required
Any other ideas, comments, or requests?
Your answer
Many thanks! Your registration confirmation and details about next steps will be coming soon.
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