Arizona Project WET
Workshop Registration Form

Arizona Project WET's office in Prescott coordinates workshops throughout Yavapai County.

Please complete the entire form and click the submit button below.

You may also mail your registration to:
Arizona Project WET
University of Arizona, Yavapai County Cooperative Extension
840 Rodeo Drive, #C
Prescott AZ 86305-2300

Workshop Title & Date
(for workshop locations, see the APW Workshop Schedule):

First Name

Last Name

Grade Level

Primary Contact Information: School / Work Affiliation

School / Work Name

Street Address

Address Line 2

City

County

State

Zip Code

School / Work Phone Number

School / Work Email Address

Secondary Contact Information: Home

Street Address

Address Line 2

City

County

State

Zip Code

Personal Phone Number

cell

home

Personal Email Address

Participant Agreement

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.

Where did you hear about this Arizona Project WET Workshop? (e-mail, printed newsletter, conference, other teacher, etc.)

Questions/Comments

Contact:
Arizona Project WET
928.445.6590 ext. 227
email: AZWET-Yavapai@cals.arizona.edu