2020 Choral Director Workshop Registration Form

Choral Directors Professional Development Workshop Enrollment (January 25, 2020)

Complete form below to signup for the workshop.
Name

First NameLast Name
Preferred Pronoun
School/Community or Faith-based setting
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Preferred E-mail
Preferred Phone

Area CodePhone Number
What age level do you teach? Check all that apply:

ElementaryMiddle SchoolHigh SchoolCollege / Adult
In what setting do you teach? Check all that appy:

Public SchoolPrivate SchoolCharter SchoolFaith Based SettingOther
I will pay for the $35 workshop fee by

Online with credit card (link below payment options)Cash at the workshopPersonal check at the workshopInstitutional check at the workshop
Click here to pay online
I will need a receipt for reimbursement

yesno
If you are seeking ACT 48 credit, please provide the name and phone number of the person in your school district who processes Continuing Professional Education Requirements.
Name and contact phone number
Optional Lunch for Saturday Workshop. Boxed lunch includes sandwich wrap, chips, salad, cookie, fruit, and beverage. $12
Please select your wrap choice
How did you hear about the workshop?

Web SiteFriend/ColleagueOnline SearchVocalise Monthly newsletter
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Choral Directors Professional Development Workshop Enrollment (January 25, 2020)