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	School Board / District: REGISTRATION

	Thank you for registering your organization. We look forward to providing you with our resources! To continue browsing through our site...just click on any menu item on the left. Classroom Connections


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There's a problem with your email address.

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To receive Classroom Connections Services, please complete the following registration form.

Registered boards will be included in all Classroom Connections' distributions of new resources. Boards will be sent enough copies to ensure each school within the board receives its own copy of the educational package. All material in the initial distribution is provided free of charge.

Please note any special shipping instructions to ensure resources reach the intended person!

School Board/District Name *:

Key Contact:

Name *:
Title *:
Phone *:
Fax *:
Email *:
Confirm Email *:

Alternate Contact:

Name:
Title:
Phone:
Fax:
Email:

PLEASE NOTE: The Key or Alternate Contact is responsible for:

Reviewing new resources to ensure there is a good fit to existing board/district initiatives
Ensuring the resource material are distributed to all schools
Notifying schools so teachers know the material is available (email, newsletter, P.D. events, etc.) Providing district and classroom level feedback about our programs and how they have been used

Program Copies Required *:

Elementary Schools (include all schools with any K-8 programming):
	English:	French:
Secondary Schools (include all schools with any 9-12 programming):
	English:	French:
Board/District Copies:
	English:	French:
Adult Education Programs:
	English:	French:

Shipping / Receiving Address (complete) *:

City *

Province / State *

Postal Code *

Shipping / Receiving Contact
(if different than key contact listed above):

Shipping / Receiving Phone Number
(if different than key contact listed above):

Special Shipping Instructions:

* = required fields

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