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MSEA MEMBERS ONLY
Winter Praxis Mapping Bootcamp 2026
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Name
*
First
Last
Mobile Phone
*
Personal Email
*
MSEA ID Number
*
If you do not know your MSEA ID number – contact Jenn Shreve at
[email protected]
. She can look it up and email it to you.
School District
*
Role/Position (e.g., teacher, paraprofessional, student teacher)
*
Grade Level(s) Taught
*
Subject Area(s)
*
Race/Ethnicity
*
Please Select
African American or Black
Asian and Pacific Islander
Native American/Alaska Native
Latin(o/a/x), Hispanic, Chican(o/a/x)
Multiracial
MENA (Middle East and North African)
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Male
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Pronouns for Name Badge
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They/Them/Theirs
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Prefer to self-describe
Self Description for Name Badge
Allergies
Please indicate if you have any environmental or food allergies that we should be aware of, e.g. nuts, dairy, gluten.
CAREFULLY ID –
Are you a first-time attendee?
*
Yes
No
Cancellation Policy – PLEASE READ CAREFULLY
1. Cancellations must occur by NOON, Friday, December 19, 2025. You may cancel by emailing
[email protected]
. Title your email – BOOTCAMP CANCELLATION. If you do not cancel prior to this date, you will forgo any payment for the event and will be assessed any costs incurred by MSEA as a result of the late cancellation. The manager responsible for the event or the MSEA president may waive costs in the case of emergency with appropriate documentation. 2. Barring an emergency reason, cancellations by NOON Friday, December 19, 2025, or no-showing at an event will mean that any costs incurred by MSEA will be passed on to the attendee.
Acknowledgement of cancellation policy
*
I have read and understand the cancellation policy.
Accommodations and Special Requests
We are committed to providing an accessible event for all participants. If you require any accommodations due to a disability or have any special needs, please describe any necessary accommodations here or contact us directly to ensure that your needs may be met in this event. We will attempt to make every reasonable effort to accommodate your request.
A/V Policy
Video and sound recording is prohibited at MSEA events.
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