WNYCBE Educator Event

First Name *

Last Name *

How should your name read on the certificate of attendance? *

Email Address *

Best Phone # to Reach You *

School District *

School *

Are you affiliated with: *

Medaille College

SLAWNY

OTHER

NFRC Members apply for discount here: NFRC REGISTRATION

Position *

Grade/s *

Professional 4-Hour CTLE Workshop

Please note: Advance registration only. Due to the array of complimentary materials being provided to all registrants, no walk-ins can be accommodated.

*Each Registrant will receive a Maverick Certificate to use toward one Expo Book compliments of Medaille College* *

4-hour CTLE Workshop 8-12pm $30 (Book voucher to be used at Expo will be given day of event - compliments of Medaille College)

Referred by (list school, professional organization, colleague, friends, bookstore, etc.) *

WISH LIST: Name one children's author you'd love for an in-school visit. *

Name on Card *

Credit Card Type *

Credit Card Number *

Expiration Date (mm/yy) *

Zip Code (Canadians friends please use 14031 for zip code) *

3-digit CVV code (found on the back of card). 4-digit for Amex. *