PART: 1 BOTTINEAUT EDUCATION DAY Dakota College at Bottineau Wednesday, March 14, 2018 FORM PART 1: CLASS/GROUP REGISTRATION FORM (Please type (preferred method)/print in black ink. Please do NOT use pencil.) CONTACT INFORMATION Name of School/Organization: Grade(s) School/Organization Mailing Address/POSTAL ADDRESS (Where you want City: State: Zip Code: your package mailed): Name of Person Completing Form: Telephone Telephone (Daytime): (Evening): Relationship to Classroom Email Address (Teacher, Principal, Parent, etc.): Contact Person Contact Person Telephone: Best Time to Call: (To Verify Information): CLASSROOM TEACHERS INCLUDED IN THIS REGISTRATION (Use an additional page, if necessary. We need every participating teacher’s information!) Name Email Address Telephone Telephone (Daytime): (Evening): PLEASE ANSWER THE FOLLOWING QUESTIONS Number of Project Students: Number of Non-Project Students Number of Teachers/Chaperones: Number of Registrants (Students/Teachers/Chaperones) HOW TO SUBMIT REGISTRATION completing part 1 of the registration form, please continue on to parts 2, 3, and 4. Then return all four parts by one of the three recommended methods listed below. EMAIL (preferred method and will FAX: MAIL: Marketplace for Kids be confirmed by 9 AM next 701-242-7754 business day): PO Box 9 Mantador, ND 58058 Questions? We want your registration to run smoothly, and are here to help you! If you need assistance, or have any questions, please contact Bob at 1-855-434-KIDS (5437) (Toll Free) or 701-242-7744, or contact us via email at M:\2017-2018 MFK\REGION 2B-BOTTINEAU\REGISTRATION\2017-2018 Registration Part 1 Bottineau
PART: 1 BOTTINEAUT EDUCATION DAY Dakota College at Bottineau Wednesday, March 14, 2018 FORM PART 1: CLASS/GROUP REGISTRATION FORM (Please type (preferred method)/print in black ink. Please do NOT use pencil.) CONTACT INFORMATION Name of School/Organization: Grade(s) School/Organization Mailing Address/POSTAL ADDRESS (Where you want your package mailed): City: State: Zip Code: Name of Person Completing Form: Telephone (Daytime): Telephone (Evening): Relationship to Classroom (Teacher, Principal, Parent, etc.): Email Address Contact Person (To Verify Information): Contact Person Telephone: Best Time to Call: CLASSROOM TEACHERS INCLUDED IN THIS REGISTRATION (Use an additional page, if necessary. We need every participating teacher’s information!) Name Email Address Telephone (Daytime): Telephone (Evening): PLEASE ANSWER THE FOLLOWING QUESTIONS Number of Project Students: Number of Non-Project Students Number of Teachers/Chaperones: Number of Registrants (Students/Teachers/Chaperones) HOW TO SUBMIT REGISTRATION completing part 1 of the registration form, please continue on to parts 2, 3, and 4. Then return all four parts by one of the three recommended methods listed below. EMAIL (preferred method and will be confirmed by 9 AM next business day): FAX: 701-242-7754 MAIL: Marketplace for Kids PO Box 9 Mantador, ND 58058 Questions? We want your registration to run smoothly, and are here to help you! If you need assistance, or have any questions, please contact Bob at 1-855-434-KIDS (5437) (Toll Free) or 701-242-7744, or contact us via email at M:\2017-2018 MFK\REGION 2B-BOTTINEAU\REGISTRATION\2017-2018 Registration Part 1 Bottineau
2017-2018-Registration-Part-1-Bottineau.docx