Managing Kids At-Risk

THE DISCIPLINE SUMMIT October 26-28, 2000 - St. Louis, Missouri

Registration Form

To reserve your place, simply print out and complete this form and fax or mail it in with your check or purchase order to:

 

The Teacher's Workshop

1250 Overlook Ridge, Bishop, GA 30621

1-800-991-1114

Fax: 706-769-4137

 
Name:  ______________________________________________________
Title:   ______________________________________________________
School/District:   ______________________________________________________
Address:   ______________________________________________________
City:   _____________________State: ___________ Zip: ____________
Phone:   ______________________________________________________
Fax:   ______________________________________________________
Email:   ______________________________________________________

  Registration

Early Bird by 4/15/2000

Number

Total

- $249.00  ________________________________ ______________________
After 8/15/2000  
$279.00  ________________________________ ______________________
Grad. Credit:  

1 Semester Hour - $89

 ________________________________ ______________________

TOTAL

 ________________________________ ______________________
 
Cancellation Policy: There is a $50 processing fee for all cancellations. Cancellations must be received 15 days prior to the workshop. No cancellations will be accepted after this date.