Monthly Standards-Based System Visits

Registration Fee - $12.00 (includes lunch and materials)
School District:
Name:
Address:
City:
State:
Zip:
Contact Phone number:
Contact E-mail:
Requested Date for Visit:
Number of participants:
Names of participants:
AMOUNT ENCLOSED $12.00 X (number of participants)
Please select yes if you will be mailing in your check.	Yes No
Bill District Purchase Order #

Send registration money by mail to:
Kristen Hernandez
Adams County School District 50
6933 Raleigh Street
Westminster, CO 80030

Send registration form by fax to: (303) 428-2810, Attn: Kristen Hernandez. Registration payment is non-refundable but you may transfer it to another person.

IN ORDER TO CONFIRM YOUR ATTENDANCE AND FOR US TO ORDER YOUR LUNCH, WE ASK THAT YOU SEND IN YOUR MONEY A WEEK BEFORE THE EVENT.

Nearby Hotels:
Comfort Inn, 8500 Turnpike Drive, Westminster, CO 303-428-3333
Doubletree Hotel, 8773 Yates Drive, Westminster, CO 303-427-4000
LaQuinta Inn, 8701 Turnpike Drive, Westminster, CO 303-425-9099
Residence Inn by Marriott, 5010 West 88th Place, Westminster, CO 303-427-9500