REGISTRATION
13th Annual TCES Science Leadership Symposium
January 15-17, 2010
YO Resort, Kerrville
Print,
complete, and send registration form and payment to:
Texas Council of Elementary Sciences
c/o Gayle Evertson
11232 South Bay Lane
Austin, TX 78739
Please print clearly
Name _________________________________________________________________________
School/Institution: ________________________________________________________________
District:________________________________________________________________________
Campus Mailing Address:___________________________________________________________
City and Zip:______________________________________________ ESC
Region ________
Gender (needed for room assignments): _____M _____ F
E-mail Address:__________________________________________________________________
Important: Please note that all conference correspondence
will be done by e-mail. District spam filters may block important
e-mails.
This Symposium is open to members of TCES. If not a current member,
please include the $10 membership fee.
NO registration form will be accepted unless accompanied by check,
money order, or PO.
Membership Fee:
| (
) new (
) renewing |
$
10.00 |
Current
member |
$ 0 |
Symposium Registration Fee:
| Symposium
(Covers cost of lodging, meals, and materials) |
$175.00 |
| Symposium
( If registering after 12/20/09) |
$200.00 |
Total Amount Enclosed: $_______________
No refunds after Janury 6, 2010.
Please note any dietary preferences/restrictions? ____________________________________
|
√ Check
all that apply to your school/job setting:
____ Elementary _____ Middle _____ High _____ Informal Institution
The grade levels served by my school: ___________________________
I am a/an: Classroom teacher at grade(s)_________________
____ Science Specialist ____ Special Ed. Teacher ____ ESL/Bilingual
teacher
____ Informal Science Educator ____ Fine Arts teacher ____ Consultant
____ Supervisor/Administrator ____College/University educator ____Pre-service
teacher
Other ___________________________________________________________
√ How long have you been a member of TCES?
___First time ___1-2 years __3-4 years __ 5-7 __ 8-11 years __12-15
years __15+ years
√ Please indicate how many TCES Symposiums you have attended
____This is my first Symposium ____1-2 ____ 3-4 ____ 5-7 ____8-12
√ Would you be interested in serving as an Area Director or
running for a TCES office in
future elections?
____Yes, contact me. ____I would like more information before answering. ____
No ______
Receipt of registration form will be acknowledged via
e-mail. If you submit a registration
form but receive no acknowledgement, contact gevertson@austin.rr.com
Space is limited to 100 participants.
Therefore, NO ON SITE REGISTRATION.
Symposium price is based on double occupancy with each
participant in a private room within the
condo. If you have a preferred roommate, please indicate.
______________________________________________________________
NO REGISTRATION ACCEPTED AFTER JANUARY 6, 2010.
Please make a copy of this registration form for your records.
TCES Website: http://www.statweb.org/TCES
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