East Ed: Eastern Educational Resource Collaborative

East Ed Conference Registration

Middle School Student Diversity Leadership Conference
Wednesday, April 18, 2012

St. David's Episcopal Church
301 E 8th Street
Austin, TX 78701
Parking lots near premises

Registration opens at 8:30
Program begins at 9:00 am
Closing at 2:00 pm
Breakfast, Lunch and snacks provided

Limited scholarships available.
Contact: Stephanie Nestlerode at:
512-925-1360

View Flyer

School Information

School Name:

Phone #:     Fax #:

Street Address:

City:     State:     Zip:

Faculty Diversity Contact

Name:
Position:
Phone #:     Email:

Registration

1. StudentAdult
     First Name:    Last Name:
     Gender:    Grade: Age:
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2. StudentAdult
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3. StudentAdult
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4. StudentAdult
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5. StudentAdult
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6. StudentAdult
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7. StudentAdult
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8. StudentAdult
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9. StudentAdult
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10. StudentAdult
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11. StudentAdult
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12. StudentAdult
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13. StudentAdult
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14. StudentAdult
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15. StudentAdult
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16. StudentAdult
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17. StudentAdult
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18. StudentAdult
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19. StudentAdult
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20. StudentAdult
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21. StudentAdult
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22. StudentAdult
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23. StudentAdult
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24. StudentAdult
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25. StudentAdult
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The conference fee for adults and students is $45 per person.

Payment can be made by check or credit card.
Credit cards can be presented on site.

Checks should be mailed to:
East Ed, PO Box 57011, Washington, DC 20037

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