Arizona Project WET
Workshop Registration Form

Arizona Project WET's office in Casa Grande coordinates workshops for schools throughout Pinal 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, Pinal County Cooperative Extension
820 E. Cottonwood Ln, #C
Casa Grande, AZ 85112

Workshop Title & Date:

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 first hear about Arizona Project WET Workshops? (e-mail, printed newsletter, conference, other teacher, etc.)

Questions/Comments

Contact:
Arizona Project WET
520-836-5221, ext. 210
email: AZWET-Pinal@cals.arizona.edu