PLT CT Registration Form

Thanks for your interest in participating in a Project Learning Tree CT educator workskhop. Be sure you have the correct date and workshop title when filling in the registration form.

Pre-registration is required. Please see workshop description for program fee. To register, complete and submit the form below. Payment in the form of checks or purchase orders can be mailed to CFPA, 16 Meriden Road, Rockfall, CT 06481 or brought the day of the workshop. Contact lbrant@ctwoodlands.org with any questions.

NOTE: Fields marked with a red * are required. You will see a confirmation message once your form has been submitted.

Please bring a lunch and water to full day workshops, unless otherwise noted.

Online Registration Form

Workshop Title: *

Workshop Date: *

Participant Name: *

Formal or informal educator?: *

Formal educator is one teaching in a PreK-12/higher education, public or private school setting, inlcuding independent, magnet, charter schools, preschools and universities/colleges.

Informal educator may teach at a nature center, museum, conservation organization, or other "nontraditional" learning environment.

Grade level(s) taught: *

Educator Identification Number (EIN) for CEU's only:

School or Organization Name: *

Address: *

State: *

10-digit telephone number: *

Example: 555-555-5555

Home email address:

Work email address:

How did you hear about this event?: *

Please note other way you heard about this event:

Please keep me informed about other CFPA happenings: *

Via email

Via mail

No thank you

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PLT CT Registration Form

Online Registration Form