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:

	June 16-18	Video Production
	June 19	Senior Project
	June 23 – 27	Course of Study
	June 25	Inquiry Based Learning
	August 4-8	First Responder/Train the Trainer
		WGTE WORKSHOPS:
	June 13	SMART Board
	June 23	Google Earth
	June 26	Build Your Own Website
		College Credit for WGTE Workshops is available through WGTE and Lourdes College. Tech Prep will pay for WGTE workshop registration fee.

Registrant Info:

Name 1:

Title:

Name 2:

Name 4:

School:

Program/Subject:

Work Phone:

Home Phone:

Email Address: