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        BIOSPHERE 2-GLOBE Teacher Training Workshop Registration Form

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Directions: email or fax the following information to the address below
ASAP.

Todays Date:
                           * Required information

    * Teacher Name:

    * Email:                                   School / Home?

      What grade level do you teach?           What subject?
      Principal Name:

    * Name of School:

    * School Address:

    * City:                                    * State:    * Zip:

    * Phone:                                   * Fax:

    * Meal ticket?                             Yes / No
    * Circle any night you will need a room:   Nov. 7       Nov. 14
    * Do you wish to share a room?             Yes / No     Smoking / Non?

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In order to contact you at home, if needed, please complete the following
information:
                             Useful information

    Home phone:

    Home Address:

    City:                 State:                   Zip:

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Send to:

        Ms. Sallie Cochran
        Biosphere 2 Center
        P.O Box 689
        Oracle, AZ  85623
        (520) 896-6203, FAX: 896-6361
        Email: educate@bio2.edu