• Name Name *
  • Primary grades taught (check all that apply) *
    Primary grades taught (check all that apply)
  • I would like to register for the following clinic(s) - Please note you can sign up for 1 morning option and 1 afternoon option. *
    I would like to register for the following clinic(s) - Please note you can sign up for 1 morning option and 1 afternoon option.
  • I will be attending: *
    I will be attending:
  • How would you like to pay?
    How would you like to pay?
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