DATE

LEADER'S NAME

AFFILIATION

ADDRESS

DAYTIME PHONE

HOME PHONE

FAX

SHIP MATERIALS TO:

NAME

ADDRESS

DATE OF WORKSHOP

TIME OF WORKSHOP

LOCATION OF WORKSHOP

ADDRESS

COUNTY

NAMES OF OTHER CERTIFIED WET LEADERS HELPING WITH WORKSHOP

TOTAL NUMBER OF PARTICIPANTS

AUDIENCE (CHECK ALL THAT APPLY):

EARLY CHILDHOOD TEACHERS
ELEMENTARY TEACHERS K-5
MIDDLE SCHOOL TEACHERS 6-8
SECONDARY TEACHERS
ADMINISTRATORS
PRESERVICE TEACHERS/COLLEGE STUDENTS
COLLEGE FACULTY
NONFORMAL EDUCATORS
(YOUTH GROUP LEADER, PARK STAFF, OUTDOOR ED CENTER,ZOO, NATURE CENTER, MUSEUM)
HOME SCHOOL EDUCATORS
OTHER

PROPOSED NUMBER OF WORKSHOP PARTICIPANTS

GUEST SPEAKERS YOU PLAN TO UTILIZE

WOULD YOU EXCEPT OTHER INTERESTED PERSONS IN THE WORKSHOP YES NO

IF YES, REGISTRANTS SHOULD CALL:

NAME

PHONE

NUMBER OF MATERIALS NEEDED:

PROJECT WET GUIDE
(FOR 6-HOUR WORKSHOP ONLY)

INDIANA PROJECT WET CERTIFICATES

EVALUATION FORMS

SMALL BLACK/WHITE WET LOGO STICKERS

LARGE BLUE/RED WET LOGO STICKERS
(GOOD FOR FOLDERS)

INDIANA WET NOTEPADS

INDIANA PROJECT WET PENCILS

OTHER RESOURCE MATERIAL AS AVAILABLE

WORKSHOP COST

ADVERTISED COST

IF OTHER THAN $15 FOR GUIDE - LIST WHAT DOLLAR AMOUNTS ARE FOR
($12 FOR GUIDES PRIOR TO JANUARY 1, 2002):

REMINDER:
ON FLYER OR OTHER ADVERTISEMENT - IF COST IS OTHER THAN $15 FOR GUIDE - PLEASE LIST WHAT IT IS FOR.  (EXAMPLE: WORKSHOP COST $10 - OUR SWCD IS SUPPLEMENTING $5 FOR EACH PERSON ATTENDING. WORKSHOP COST $23 - $15 FOR GUIDE - $2 MATERIAL FEE AND $6 LUNCH FEE.)

NOTE:
A $15 WORKSHOP FEE IS REQUIRED FOR EACH WORKSHOP PARTICIPANT. INDIVIDUAL CHECKS OR A COLLECTIVE CHECK SHOULD BE MADE OUT TO IDNR-PROJECT WET AND MAILED TO THE PROJECT WET OFFICE AFTER THE WORKSHOP. INVOICES FOR INSTITUTIONAL PAYMENT SHOULD BE REQUESTED.

ALSO NOTE:
POSTAGE OUT IS COVERED FOR PROJECT WET GUIDES. POSTAGE BACK FOR LEFT-OVER GUIDES IS YOUR RESPONSIBILITY. ALL LEFT OVER GUIDES MUST BE RETURNED UNLESS ANOTHER WORKSHOP IS SCHEDULED OR PLANNED IN THE NEAR FUTURE.