Journal Collage Workshop - Wed Apr 29 (HSW Committee)

First Name

Last Name

School / Worksite

Non-Board Email

ETFO Number

OCT Number

PDSB Employee Number

Mobile Phone Number

Is this your 1st (first) time attending a PETL event?

How many years have you been a PETL member (Permanent Hire with the PDSB)?

Dietary Requirements (i.e., Anaphylaxis/Allergy to, Gluten-free, Halal, Kosher, Lactose Intolerant, Pescatarian, No Dairy/Beef/Pork, Vegetarian, Vegan)

Accommodations (i.e., Closed Captioning Required)

Payment Confirmation & Acknowledments

I will pay $10 by E-TRANSFER to payment@etfopeel.com indicating JOURNAL in the message and sending by 4 PM on Wed Apr 22 (I understand my payment is non-refundable) I will pay $10 ONLINE with a credit card in the PETL Shop [etfopeel.com/shop] by 4 PM on Wed Apr 22 (I understand my payment is non-refundable)

Racialized Person (Please Specify)*

Your form has been submitted and you will receive an email from PETL – NO REPLY with the event details – mark your calendar!

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Journal Collage Workshop – Wed Apr 29 (HSW Committee)