Individual Registration for the Learner-centered, Standards-based Systems Summer Symposium

April 16 – 17, 2010 Hodgkins Elementary School 3475 West 67th Avenue Denver, CO 80221 8:00am - 4:00pm

Individual Registration
Registration Fee - $250.00 (includes breakfast, lunch and all materials)

School District:
Name:
Address:
City:
State:
Zip:
Contact Phone number:
Contact E-mail:
Type:	Elementary or Secondary
Registration Type:
Strand Type:
AMOUNT ENCLOSED: $0.00
Please select yes if you will be mailing in your check.	Yes No
Bill District Purchase Order #

Send registration money by mail to:
Georgia Sevison
Adams County School District 50
2401 West 80th Avenue
Denver, CO 80221

Send registration form by fax to: 303-657-9450, Attn.: Georgia Sevison

Sorry, no phone registrations will be accepted.

Registration payment is non-refundable but you may transfer it to another person.

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