I am
a (check as many as apply):
Parent
Teacher
Therapist
Principal
Homeschooler
Counselor
Other:
Ages
of children I work with:
Topics
of Interest (check as many as apply):
Reading
Writing
Math
Learning Problems
ADD
Dyslexia
Hyperactivity
How to grade/evaluate learning
How to motivate
Classroom
Strategies
Homeschooling
Conflict Resolution
Communication Skills
Testing
Other:
Reserve
my space! I am:
Enrolling for (specify date of session)
(xx/xx/xxxx)
enclosing $395 and mailing this form to reach you by the
early registration date.
enclosing $425 and mailing this form to reach you by the
closing registration date.
Method
of Payment:
Card Number:
exp date:
Accomodations:
I will be staying at the Country Inn or other hotel and understand that I need
to contact the hotel directly to make reservations.
I will not be staying at a hotel.
