Phone. Fax. Email. Dietary restrictions? REFUND POLICY: Refund requests must be received in writing at AWSP by 4:30 p.m.
LEADERSHIP TEAM TRAINING
WORKSHOP REGISTRATION Registration for Workshops 2 and 3 will be available after Workshop 1 is completed.
CHOOSE A DATE/LOCATION November 9, 2015 | ESD 112, Vancouver November 17, 2015 | Moses Lake School District November 23, 2015 | ESD 114, Bremerton
4.) Name Title School/Dist. Phone
Fax
Email Dietary restrictions? 5.) Name Title School/Dist. Phone
Fax
Email Dietary restrictions? 6.) Name
REGISTRANT INFORMATION
Title School/Dist. Phone
TEAM LEADER
Fax
Email (This person’s school/district will be responsible for the cost of the team’s registration.) 1.) Name
(For additional registrants, please attach a separate sheet.)
Title
FEES AND PAYMENT
School District Phone
Dietary restrictions?
Fax
Email
$150 for a team of 2-6 registrants $50 per additional registrant (over 6) x (#)
=$
Total due for all registrants: $
Dietary restrictions? Check Purchase Order (Must be attached) Credit Card: Personal School District
TEAM MEMBERS 2-6
Card #
2.) Name Title
Name on Card
School/Dist.
Signature
Phone
Fax
Email Dietary restrictions?
Exp.
WAYS TO REGISTER
3.) Name
Mail: AWSP, 1021 8th Ave. SE, Olympia, WA 98501 Fax: 360.357.7966 Email:
[email protected]
Title
Questions? Call AWSP at 800.562.6100.
School/Dist. Phone Email Dietary restrictions?
Fax
REFUND POLICY: Refund requests must be received in writing at AWSP by 4:30 p.m. 20 business days before the first day of the workshop. Refund requests received in writing 10-19 business days before the first day will be granted at 50% of the registration fee. There are no refunds for no-shows or cancellations received within 10 business days of the first day of the workshop.
