PBL February 2021 Registration ~  
~ 24 spots available ~
Two Workshop Options, Take one or both Workshops:

PBL 1.0: Tuesday and Wednesday, February 16 and 17, 2021; 4 hours total - 4:15 - 6:15 pm each day
PBL 2.0: Tuesday and Wednesday, March 2 and 3, 2021; 4 hours total - 4:15 - 6:15 pm each day

Presented Via ZOOM (link sent upon registration approval)
CEU's available

Thanks for your interest in participating in this workshop! You will receive notification of your registration and a Zoom URL link shortly after the completion and submission of this form. We are truly looking forward to our creative work together!
Sign in to Google to save your progress. Learn more
First Name *
Careful here... you don't want us calling you "Alice" by mistake!
Last Name *
Email Address  [Gmail preferred if you have one] *
Please use your GMAIL account if you have one (but no worries if not!). Please check for accuracy. This email address will be used to send your confirmation that we received your registration.
PBL 1.0, 2.0, or BOTH? *
Contact MOBILE Phone Number *
Please check for accuracy. This phone number will be used in case of last minute schedule changes/cancellations due to weather conditions, etc. So use a personal number, not the school number ;-) It will NOT be shared with others.
What grade level(s) do you typically work with? *
Select all that apply.
What disciplines/subject(s) do you teach? *
Organization Name *
Please enter the name of your Company, School District, or Organization.
School Building Name
For preK-12 Teachers and Administrators Only. Leave BLANK if you do not work in a school building.
Billing Preference *
How would you like to pay for your registration?
Billing Information: Please provide the needed contact information for billing: *
Who should we bill? Provide their Name, Position, Phone number, & Email Address. We can't process payment or approve and/or finalize your registration without this information... Please enter ALL of it ;-)
Participation Agreement
Please read the agreement below regarding participation in this series.

I understand that EACH workshop is a connected two-day series and I am committed to attending both days. By selecting "Yes" on this registration form I commit to attend the entire workshop (barring any unforeseen family emergencies). Cancellation of this registration is subject to a $20 fee if canceled within 3 business days of the first session.
Participation Agreement *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms