Registration

Required fields are marked with required
Is this your first THESA Conference?: required Yes No
Personal Information
Salutation: required Mr.
Mrs.
Ms.
First name: required
Last name: required
Address: required
City: required
Province: required
Postal code: required
Phone - Home: required
Email address: required
Work Information
Your job: required
School District: required On the bottom of the list you can find options if you work out of the province or not for a school district.
School: required
Phone - Work:
Thursday Night - Wine & Cheese
We will have a Wine & Cheese on Thursday night. A fee of $ 10.00 applies (for students $ 5.00). Please join us to have some fun together before the conference begins.
I would like to attend (fee of $ 10.00 applies): required Yes No
Dietary Requirements
Are you a vegetarian?: required Yes No
Dietary Requirements/Allergies:
Email List Serve
Do you want to join the THESA email list serve? Please enter your email address into the following field:
Email address for list serve:


October
22, 2010

Surrey