Registration for Strengthening the Core

Saturday, April 24

9:00 am - 3:30 pm

Chicago Literacy Alliance

641 West Lake Street, Chicago

A separate registration form is required for each participant. If you are paying for multiple participants, please email the link to the form to each of them so that they can submit a form. Thank you.

Anti-Harassment Policy

The Chicago Area Reading Association and the Lake Area Reading Council do not allow harassment or discrimination of any kind at any CARA-affiliated or LARC-affiliated event. CARA. LARC and their affiliates will take appropriate and immediate action in response to complaints or knowledge of violations of this policy including expulsion from the event. To report an issue, please visit the Event Registration Desk.

Submission of this registration constitutes your understanding of and agreement to comply with this policy.

Name *

First Name Last Name

Email *

example@example.com

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Phone Number *

Area Code Phone Number

Please select your council

Chicago Area Reading Association Lake Area Reading Council

Name of School (required for clock hours)

District (required for clock hours)

IEIN (required for clock hours)

The Chicago Area Reading Association takes photos during its events for use in subsequent promotional materials and publicity efforts. If you do not want CARA or the Illinois Reading Council to use your photograph, please check the box below. Otherwise, by registering for CARA events, you are giving CARA and IRC permission to use your photograph in their promotional materials and publicity efforts. Photographs may be used in publications, print ads, direct-mail pieces, electronic media (e.g. video, Internet) or other types of promotion. CARA and IRC publish journals, newsletters, and other materials for educators at all levels.

Please check below if you do not want us to use your image, likeness or appearance in photographs.

I do not want my image used in photographs.

Please select payment type. Please select all that apply. *

I am paying for multiple participants. Credit Card Cash or Check made payable to Chicago Area Reading Association, Attention: Jyce Jennings, Treasurer, Chicago Literacy Alliance, Mailbox #1, 641 West Lake Street Suite 200, Chicago, IL 60661 CPS Purchase order. Please use Vendor #28261. My principal is paying my registration A colleague is paying my registration Other Purchase Order - please provide number is space provided below.

Please send checks to Joyce Jennings, CARA Treasurer, Chicago Area Reading Association, Chicago Literacy Alliance, 641 West Lake Street, Chicago, IL 60661.

If you have questions about using a Purchase Order, please contact our Treasurer, Joyce Jennings.

For Payments Other than Credit Cards

CARA, CLA and LARC Members or Roosevelt Faculty = $100 each

Non-members = $150 each

Registration + Membership Special ($145 value!) = $140 each

College Students = $75 each

Apply 10% discount for groups of 5 or more from one school or organization.

For Credit Card Payments

CARA/LARC Members or Faculty $ 100.00

Quantity

Non-Members $ 150.00

Quantity

Registration + Membership Special ($145 value) = $140 $ 140.00

Quantity

Student $ 75.00

Quantity

Total $ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Principal's Name

First Name Last Name

Principal's Email Address

example@example.com

Please provide the Purchase Order Number

School Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Colleague/Payor's Name

First Name Last Name

Colleague/Payor's Email Address

example@example.com

If you are paying for multiple participants, please complete this section:

Participant #1

First Name Last Name

Participant #1's Email Address

example@example.com

Participant #2

First Name Last Name

Participant #2's Email Address

example@example.com

Participant #3

First Name Last Name

Participant #3'2 Email Address

example@example.com

Participant #4

First Name Last Name

Participant #4's Email Address

example@example.com

Participant #5

First Name Last Name

Participant #5's Email Address

example@example.com

Participant #6

First Name Last Name

Participant #6's Email Address

example@example.com

Participant #7

First Name Last Name

Participant #7's Email Adress

example@example.com

Participant #8

First Name Last Name

Participant #8's Email Address

example@example.com

Participant #9

First Name Last Name

Participant #9's Email Address

example@example.com

Participant #10

First Name Last Name

Participant #10's Email Address

example@example.com