To register as a participant for PESTO-A please fill out the form below and hit submit. By submitting this form you are committing to participating in the two Spring 2003 planning meetings and the three week summer workshop.

Name:                    

Home Address:      

City and Zip Code:      

Phone Number:      

e-mail address:       

School:                   

School Phone #:     

Subject(s) Taught:  

Grade level: