Waldorf Middle Schools Conference Nov2016

Conference Registration
Waldorf Middle Schools: Realizing our Potential

Friday, November 4 and Saturday, November 5
Our website has further details about the conference. You can also find information about transportation and housing.

Please indicate your choice of workshops*

Rows	First Choice (pick one)	Second Choice (pick one)
Rethinking Lessons in Middle School Humanities
Approaching the Sciences
Middle School Math
Social Work in the Middle Grades

Participant Contact Information
Name*

First NameMiddle NameLast Name
Phone (primary)*

Area CodePhone Number
Phone (other)

Area CodePhone Number
E-mail*

Confirmation Email
Home address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Participant Profile
Are you a

TeacherAdministratorFaculty ChairBoard MemberOther
How many years have you been teaching?*
What do you currently teach?*
Have you completed a Waldorf Teacher Training Program?*

YesIn processNo
Which institution?*
Graduation year*
Name of your school*
Suggestions are listed but you can type any school and location
What do you hope to gain from this conference?*
How did you hear about this conference?*

Sunbridge websiteSunbridge emailMy schoolFlier at schoolWord of mouthAssociation of Waldorf Schools of North America (AWSNA)Waldorf Early Childhood Association of North America (WECAN)Other websiteOther
Payment Information
Please note: Because you are an alum or current program student of Sunbridge, you are entitled to a conference discount. Please enter the code ALUM15 in the discount code field below. (this option is void if you are using the INVOICE coupon code for your school to pay)

Entrance to conference & workshop*

Waldorf Middle Schools Conference Registration Nov 4-5, 2016 (includes light breakfast, lunch & snacks and a $25 non-refundable Registration Fee)$235.00

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Total $0.00

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Last Name on card

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Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Payer email*
Disability?

Check here if you have a disability that may require accommodation
Please provide details about the accomodation that will be necessary for your attendance.*
Cancellation policy*

By checking this box, I understand that Sunbridge Institute reserves the right to cancel this conference up to 24 hours before the scheduled start time. If Sunbridge cancels, all registrants will be notified and will receive a full refund. If the registrant cancels, he or she will receive a full refund less any non-refundable registration fee. I further understand that Sunbridge reserves the right to make faculty substitutions when necessary.
Leave a message, if desired
In all of its dealings, including its admissions, educational, and employment practices, it is the policy of Sunbridge Institute, its Trustees, officers, employees and other duly authorized agents not to discriminate against any individual or group for reasons of race, color, creed, gender, age, culture, ethnicity, national origin, marital status, sexual orientation or identification, or mental or physical handicap.

For any technical difficulties using this online form, please contact registrar@sunbridge.edu. Most difficulties can be resolved by ensuring all fields are completed (esp country field), checking validity of credit card, and lastly, trying a different device and/or browser.

For more details about this workshop or planning your stay, please contact the Admissions Office at 845-425-0055 X20 or by email at info@sunbridge.edu.
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Conference Registration

Waldorf Middle Schools: Realizing our Potential

Participant Contact Information

Participant Profile

Payment Information