TESL -Durham
Event Registration Form
Please print and complete the following information to be sent along with your pre-registration fee. Mailing information is listed at the bottom of the form.
Name : ____________________________ _______________________________________________ Email : _____________________________________________________________________
Name of your TESL Affiliate: _____________________________________________________________
Teaching Interests (please select any/all that apply. This information will be used to help our speakers tailor their examples).
IMPORTANT: Do you have any dietary restrictions or allergies that we should be mindful of when placing food orders for this event? If yes, please specify:
__________________________________________________________________________________________________________________________________
Guests Welcome! If you are not TESL-Durham member, please let us know where you are from and how you heard about our event?
_________________________________________________________________________________________________________________________________
Pre-Registration Options: You can pre-register directly via any member of the executive team. Alternatively, you can email your registration to [email protected]
Name : ____________________________ _______________________________________________ Email : _____________________________________________________________________
Name of your TESL Affiliate: _____________________________________________________________
Teaching Interests (please select any/all that apply. This information will be used to help our speakers tailor their examples).
- AdultESL
- Elementary
- University/College
- Private
- LINC
- Secondary International
- Other ____________________________________________________________________________________
IMPORTANT: Do you have any dietary restrictions or allergies that we should be mindful of when placing food orders for this event? If yes, please specify:
__________________________________________________________________________________________________________________________________
Guests Welcome! If you are not TESL-Durham member, please let us know where you are from and how you heard about our event?
_________________________________________________________________________________________________________________________________
Pre-Registration Options: You can pre-register directly via any member of the executive team. Alternatively, you can email your registration to [email protected]