New York Fall 2010 Teacher Conference - October 7, Hyde Park

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First Name: *

Last Name: *

Email: *

School or Organization:

Address: *

City: *

State: *

ZIP/Postal Code: *

Phone: *

Meals (check all that apply):

No breakfast needed

Vegetarian meals

Is your organization interested in setting up a table at the TIC resource fair?: *

Yes, please contact me.

No, thanks.

Pick up eggs: A chance to get eyed brown trout eggs from the DEC Catskill Hatchery in DeBruce. Delivered to the conference site by Scott Covert. Please indicate how many tanks worth of eggs you'd like:

Pick up food: A chance to get trout food for a classroom tank. Please indicate how many tanks worth of food you'd like:

Approximate number of students your TIC program will impact: