United Montessori Schools of Indiana Conference Registration

Fall Conference Registration Form

October 22, 2022, Trine University, Angola, Indiana
Note: If you need to pay by check or purchase order, please download this form and return it with a purchase order or check payable to UMSI to: Attn: Kathy Lause, 5111 Evanston Avenue, Indianapolis, Indiana 46205. Please provide your name and school on the memo section of the check.
Full Name*

First NameLast Name
School*
Name of school
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Note: Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.
Track

Early ChildhoodElementaryParentMontessori Philosophy
Due to the proximity of the event, we are no longer able to accept lunch orders.
Membership

Please send me more information about joining UMSI
Options*
prevnext( X )
Non-member attendee registration$100.00

Member or student attendee registration$75.00

Total $0.00
Note: No refunds
Conference sponsored by
Should be Empty:

Fall Conference Registration Form