Request edit access
On-Site Professional Development TRAINING WORKSHOPS - Booking Request Form
*Prices vary depending on length and number of attendees. Please fill out this scheduling form completely.
Kristin Miller, M. Ed. is the registered TX trainer (#10550), certified child care health consultant, professional educator, and lead presenter. She will be in touch with you to discuss further details and confirm your training workshop reservation.
PLEASE NOTE: If you are wanting to reserve more than one training workshop session (multiple topics) - Ms. Miller will be happy to present more than one training workshop session at a time for your facility and staff. Full day PD workshops can be reserved for your program, with multiple training topic sessions provided. She will work with you to plan, schedule, and organize a full PD training day for your programs needs.
Director/Principal First & Last Name
Please list the person responsible for scheduling this training and the best point of contact who leads your program.
What kind of facility do you lead, own, or operate?
Public School (ISD)
Church School Program
Licensed Child Care Center
Name of Facility
What is the name of your educational program, public or private school, child care center, or in-home daycare?
Choose Your TRAINING WORKSHOP TOPIC!
Please select which training workshop topic you would like to schedule for your staff, team, self, or employees! NOTE: IF YOU WANT MULTIPLE SESSION TOPICS for your teaching staff team, please click "OTHER" and write in the titles of choice.
Accommodating Learning Styles
Fine Motor Development - Facts and Fun!
101 Strategies to Differentiate Teaching
Take Back Your Creativity (Curriculum Design)
Positive Behavior Management
Assessing for ALL
Meaningful Ways to Incorporate EMOTIONS in ECE
Early Literacy: Best Practices and Making it FUN!
30 Fun Ways to use Play-Doh for Learning
A Child's Well-Being Workshop
Building Math Skills among the Ages (Infant-PreK)
Centers in the Classroom
Bloom's Taxonomy: Integrating into the Early Childhood Classroom
Sensory Learning & Themed-Tub Activities
Health and Safety Topics
For Leaders/Directors Only: The HOME and SCHOOL CONNECTION (Parents as Partners)
For Leaders/Directors Only: Positive Management Tools for Leaders
Administrators track only: Child Care Center - Policy Writing & Community Resources
How many employees, or attendees, do you expect to attend this training workshop?
Please list a number to the closest maximum amount, including yourself, if you plan to attend.
Please select the preferred DATE you would like the professional development training to be on
Please note: Due to scheduling conflicts and high demand, some dates may already be full. I will try to accommodate your day/time request, and be flexible to work with you as much as possible to meet your needs.
Please select the preferred TIME you would like the professional development training to be at
Please note: Due to scheduling conflicts and high demand, some time options may already be taken. I will try to accommodate your time request, and be flexible to work with you as much as possible to meet your needs.
Phone Number 1
What is the age range of children your program provides services for?
Please list the age ranges of children in whom your staff teaches.
Tell me How....
Please select how you heard or found out about my unique training workshops, below!
Mail Out Flyer
Referral (Word of Mouth)
Online Search Engine
News, Ad, or Community Flyer
Payment Policy Consent
For all training workshops PAYMENT IS DUE IN FULL BEFORE, or on the SAME DAY, as TRAINING'S ARE RENDERED, either by a credit/debit card payment, or personal check. All fees are non-refundable.
Yes, I agree to this policy and understand its entity.
Signature of authorized representative
By signing below, you are agreeing to schedule this training workshop for your school, self, or program. You have read and fully understand all details, workshop descriptions, and policies as stated above. This signature verifies understanding and acceptance of this registration.
Signed this day
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service