Alameda & Contra Costa County: CSEd Week 2022 Participant Registration
Please fill in this registration Form for Week-Long Scheduled events, continued learning opportunities, resources and more
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Please provide the name of the person filling in this form.
This is optional and just a way to contact you in a personal way.
Please enter your email address  *
By providing an email, I am asking for email reminders and allowing the participant(s) to attend the event
Please re-enter your email address  *
How often would you prefer the communication to your email? *
Some sessions may require materials. Please provide your mailing address if interested in receiving these materials. (Optional, while supplies last.) *
You may use this form to register multiple participants at once. Number of participants I am registering. *
What part of our community do you represent? (Check all that apply) *
Required
What county do the participant(s) live in? *
Required
What school district do the participant(s) attend? *
What school(s) do the participant(s) attend? *
What grade level(s) are the participant(s)? (please check all that apply) *
Required
What would you like to learn during CSEd Week? (Please check all that apply) *
Required
Any other comments or questions for the event?  We look forward to learning with you!
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