Golden Crescent Tech-Prep Partnership
7th Annual Winter Regional Conference

                          Registration Form

Where: Holiday Inn, Victoria, Texas
When: WEDNESDAY, MARCH 1, 2006
Time: 8:00am-3:30pm (lunch will be provided)                                                   

Amount: FREE

Please complete the green registration form and return no later than Wednesday, February 22, 2006.

Name:

School:

Position:

Tech-Prep Classes Taught (If applicable):

School Address:

City, State, Zip:

Telephone:                                                          Extension:


Fax:

Email:

Approved Tech-Prep Teachers may be eligible for one-day substitute reimbursement.

All attendees traveling from outside Victoria may be eligible for mileage reimbursement at your school’s mileage rate not to exceed 44.5 cents a mile. We encourage carpooling. Please submit reimbursement requests by March 29, 2006.Please return form to:

Mail: Elizabeth Garza
2200 E. Red River St.
Victoria, Texas 77901
Fax: (361) 580-2995
Email: egarza@tisd.net

Questions:

Phone: (361) 580-2988

Electronic version of form available upon request.