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?








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       Questions? 974 – 7631.