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School:
School Address
School City:
School Zip:
School Phone:
School Fax:
First Name:
Last Name:
Home Phone / Cell Phone:
Email Address:
Position:
Grade Level:
Bringing a Laptop? (If listed as required or optional)	Y N
If bringing laptop, is it wireless?	Y N
Platform	Mac Windows
What operating system is running on the laptop?
Course Title
TIP Member School:	Y N
Cost of Course
Payment Type:	School Check Personal Check Parish Check Cash
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Last Updated: 07/18/2011