Arizona Project WET
Workshop Registration Form

Use this form to register for workshops taking place in all parts of Maricopa County, outside of the City of Phoenix.

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

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
602-827-8200, ext. 333
email: AZWET-Phoenix@cals.arizona.edu