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    NHPS Annual Teacher Visitation Day Registration Form

Thursday, April 24, 2008
10:00 a.m. - 3:00 p.m.


Complete the form below and you will receive a confirmation letter detailing visitation assignment
and directions in the mail prior to the event. Please make sure your contact information is correct.
Name:
Address:
City:
State:
Zip:
Phone:
Mobile Phone:
Email:
Will you hold a Connecticut State Certification by August 2008?
Yes
No
Area of Certification (endorsement area):

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