Registration Form for Brian Butler Teacher Catechetical Day

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Registration Form for Brian Butler Teacher Catechetical Day - Friday, February 8, 2019.

Please complete this form to register for the Brian Butler "Helping Your Students to Navigate Our Pornographic Culture" Teacher Catechetical Day at St. Edward School in Chicago.

Name *

Name of School *

Role in School *

Grade Level (check all that apply). *

Elementary - Primary

Elementary - Middle Grades

Elementary - Jr. High

Secondary

Required

Email Address (please check for accuracy). *

Cell Phone Number (in case of emergency cancellation).

Do you have any dietary restrictions? *

YES

Please list dietary restrictions below:

I understand that my school will be charged $20.00 for registering for this workshop. *

YES

Submit

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