Registration Form: 2010 Natural Hazards in Hawaii Teacher Training Workshop

Your name:	Your school:
Your e-mail address:	Your phone numbers:
What grade(s) do you teach?	What Subject(s) do you teach?
Are you interested in receiving PDERI credit, at 2 credits per session? Yes No

Which of the 4 session(s) would you like to attend?

Volcanoes (January 16 & 30)

Earthquakes (February 20 & March 6)

Tsunamis (March 27 & April 17)

Hurricanes (May 1 & 15)

Why do you want to attend this workshop?

Fill out, print, and fax this form to 974 – 7677. Or scan the filled-in form and e-mail to csav@hawaii.edu Questions? 974 – 7631.