Register Online

All teachers must register online here. Registration is complete once we receive your payment. Register early. Space is limited.

* The asterisk denotes required information.

Select a contact:*

Select Registrations Webmaster

Teacher or Supervisor's Name:*

Email:*

Phone Number*

School Secretary's name:*

School Secretary's email:*

School phone number:*

Part One

Name of School*

Name of Principal*

Preferred Method of Contacting Teacher:*

Phone Fax E-mail Post

Address/number for Preferred Method of Contact:*

There is a fee of $5 per student; please make out a cheque to "Roots of Bruce" and send it to Tim Mancell Box 1060. 15 Johnstone Blvd Walkerton ON N0G 2V0 E-transfer is also available using tmancell@wightman.ca Payment in advance required.

Number of Students Attending: (Each class must register separately)*

Part Two

Select the preferred day for your visit.

First Choice:*

April 16
April 17

Second Choice:*

April 16
April 17
None

Part Three

You may arrange to share a bus with another school at the same time and date.

Name of School to share the bus:

Comments/Questions:

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