Arizona Project WET
Phoenix AMA Workshop Registration Form

Use this form to register for workshops taking place in all parts of the Phoenix Active Management Area, outside of the City of Phoenix.
If you wish to register for a workshop sponsored by the City of Phoenix, please refer to the City of Phoenix Workshop Registration Form.
Please complete the entire form and click the submit button below.

You may also mail your registration to:
Arizona Project WET
University of Arizona Cooperative Extension, Maricopa County
4341 East Broadway Rd.
Phoenix, AZ 85040

* Workshop Title & Date:

* First Name

* Last Name

* School / Work Affiliation

Grade Level

* School / Work Address

* Alternate Mailing Address

* City

* State

* Zip Code

* City

* State

* Zip Code

* County

* Primary Phone Number

cell

work

home

Alternate Phone Number

cell

work

home

* Primary Email Address

work

personal

* Alternate Email Address

work

personal

Yes

* I do plan on attending the above indicated Arizona Project WET workshop.

Yes

* I understand that Arizona Project WET reserves the right to cancel or reschedule any training
due to lack of enrollment or funds.

Questions/Comments

Contact:
Arizona Project WET
602-470-8086, ext. 338
email: AZWET-Maricopa@cals.arizona.edu