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Register for eMINTS summer workshops

Please complete the registration form below and press Submit. You will receive a thank you page that confirms successful submission and an e-mail copy of your submission. Online registration only is accepted for these sessions.

Registration closes two weeks before session OR when the capacity for a location is filled.

Fields marked with an asterisk (*) are required.

Summer workshop registration form
* First Name
* Last Name
* E-mail address
* Summer e-mail address
* Work phone (including area code)
* Home phone (including area code)
* Street
* City
* State
* Zip
* District name
* Choose one session
* Year completed eMINTS PD

Payment information - summer workshops

* Choose a payment option

- Please call eMINTS office at (573) 884-7202.
Do NOT send credit card information via insecure e-mail message.
District billing contact's name
Contact's phone
Contact's e-mail
Special needs or requests
Please note any dietary or other special needs

For more information about eMINTS programs and events, contact emints-info@emints.org or call (573) 884-7202.
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Reviewed July 8, 2009.