TI T-Cubed Regional Conference Registration

Friday and Saturday, February 6th and 7th, 2009

being held at the National Science Center's Fort Discovery in Augusta, Georgia

Sponsored by the GaDOE Educational Technology Center

* First Name

* Last Name

* Street Address

Address Line 2

* City

* State

* Zip Code

* Phone Number

* School and System:

* Email Address: (Email confirmation will be sent to this address)

* Verify Email Address:

* List the Courses and/or Grade Level(s)/Subject area(s) you teach:

___________________________________________________________________________________________________
Registration Fee
$30 - Includes Saturday Box Lunch

Upon completing the registration, please print the email that will be sent to you along with your payment. If your school or system is paying for your registration, forward your registration email to the contact person at your school or system responsible for paying the fee. Conference fees are due by January 16, 2009 to guarantee your registration. Registration fees after January 16th will be $50.
Send payment to:
GaDOE Educational Technology Center
One Seventh Street, Fifth Floor
Augusta, Georgia 30901
Attention: TI Conference

Conference Program
Friday - 2/6/09 - 8:00am - 4:30pm
Saturday - 2/7/09 - 8:00a - 4:00pm

Tentative Conference Agenda available on website.

We recommend that participants bring a calculator from school to participate in the sessions. The conference will provide calculators for participants if needed.

Special accomodations or needs that we should be aware of:

* I am interested in receiving Professional Learning Credit (PLU) or (CEU).

Yes

No

* I will not hold the National Science Center, Georgia Department of Education, or Educational Technology Center liable for loss or injury.

I Agree

* I understand that I am responsible for the payment of the registration fee by either sending my payment (along with printed registration information) or coordinating with my school/system to make payment. I also understand that payment must be made prior to January 16, 2009 to avoid a late registration fee.

Yes

* I understand that I am responsible for all travel arrangements and costs associated with attending this conference.

Yes

* Indicates Response Required