Calendar
BIG RIVER EDUCATIONAL WORKSHOP REGISTRATION PAGE Please fill out and submit the form below. We will be contacting you via the email address you list, unless otherwise noted. *First and Last Name: *Work Email: Home Email: *Address: *City: *State: *Zip: County: *Workshop Location: *Select Dates: Louisville--March 9, 2007 Louisville--March 16, 2007 Louisville--March 17, 2007 Evansville--May 18-19, 2007 Cape Girardeau--June 12, 2007 Chester--June 20, 2007 Rock Island--August 15, 2007 *Primary Phone: Secondary Phone: Work Phone: Where did you hear about the workshop?: Listserve Press Release Word of Mouth Newsletter Direct Mail Other Professional Connection to the River: Elementary Teacher Middle School Teacher High School Teacher College Professor State/Federal Agency Not-for-Profit Youth Group Leader Interested Citizen Other Is this the first LL&W Big River Educational Workshop you have attended? yes No If no, can you list the location or year of all past workshops you have attended? Special Needs/Comments :
Is this the first LL&W Big River Educational Workshop you have attended? yes No
If no, can you list the location or year of all past workshops you have attended?
Greg Boll Photography, Photographer for LL&W
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