PD Registration

On-Line Registration Form

Please fill in the form below and click "Submit Reservation" to electronically send your reservation.
or print this page and fax to 419-530-7240 or mail in your request to:

Susan Enck, Tech Prep Consultant
The University of Toledo - HHS Mail Stop 119
2801 W. Bancroft Street
Toledo, OH 43606
Phone: 419-530-7228 or 419-530-7239

Please register me for the following events:
Inquiry-Based Learning, Wednesday, June 23, Penta Career Center, 8:30 AM to 3:30 PM
Tech Prep Academy Hybrid on-Line Academy. See www.techprep.org/academy for details
Registrant Info:
Name 1:	Title:
Name 2:	Title:
Name 3:	Title:
Name 4:	Title:
School:
Program/Subject:
Work Phone:	Home Phone:
Email Address: