Teams Improving Practice (TIP) Registration 2021
School Name
*
School System Name
*
School Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is the billing address the same as the school's address?
*
Yes
No
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Attendance Fee (School fee is discounted to $15,000 per school when five or more schools sign up in a given cohort)
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( X )
Registration
$
18,000.00
Includes registration for 1-2 school-level administrator(s) and up to 4 teacher leaders per building at face-to-face trainings. Full staff may use online materials and attend three (3) 30- to 45-minute webinars.
Total
$
0.00
Purchase Order Number
*
Must submit a valid purchase order number.
Principal Name
*
First Name
Last Name
Principal Email
*
example@example.com
Principal Phone
*
Extension
Cohort Selection
Montgomery/Tuscaloosa
Birmingham/Huntsville
Mobile
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Included in attendance fee
Administrator 2 Name
First Name
Last Name
Administrator 2 Email
example@example.com
Teacher 1 Name
First Name
Last Name
Teacher 1 Email
example@example.com
Teacher 2 Name
First Name
Last Name
Teacher 2 Email
example@example.com
Teacher 3 Name
First Name
Last Name
Teacher 3 Email
example@example.com
Teacher 4 Name
First Name
Last Name
Teacher 4 Email
example@example.com
Save
Submit
Should be Empty: