REGISTRATION FORM: CT COLT Summer Institute - Mr. Greg Duncan, Teaching for Proficiency Institute, 6/26/19 - 6/27/19
This online registration should be used for the CT COLT/RIFLA workshop held June 26 - 27, 2019. The workshop will begin promptly at 8 a.m. each day, and will run until 3:30 p.m. with coffee served from 8-8:30 a.m.

The workshop will be held at Stonington High School, Stonington, CT.
Registrations are not complete until payment is made.

Pricing for this workshop is as follows:
*Early Bird Registration (Submitted and paid before 5/1/18) CT COLT Members: $155  Non-Members: $185
*Regular Registration (Submitted and paid on or after 5/1/18) CT COLT Members: $175  Non-Members: $205
*Note that registrants from state world language organizations besides CT will pay the $155 / $185 rate


This cost includes continental breakfast and lunch both days, and a cocktail reception at Lea Graner Kennedy's house at the end of the first day. We hope all registrants can join in the collaborative fun!

Mystic Hilton Hotel:
• A block of rooms has been held for us at the Mystic Hilton.
• To reserve a room for $149 for Tuesday, 6/25, please call 1-800-774-1500. and ask for the room block for CT COLT. This rate is available until 5/26. You can also reserve a room for Wednesday, 6/26 for $149. Use the code CTCOLT if booking online. www.hilton.com

After completing this online registration form, you will need to complete the payment portion of the registration at:
http://www.ctcolt.org/pages/PDSummer2019PayPalPayment.asp

Click here to view the flyer about the institute: COMING SOON!

Please note that CT COLT and RIFLA have sent a letter to administrators informing them of this valuable learning opportunity. Please access the letter here: http://bit.ly/2RGCPi7
We will continue to reach out to building leaders and we encourage you to share this notification with your school and district.

2019 CT COLT/RIFLA Summer Proficiency Institute Registration
First Name *
Your answer
Last Name *
Your answer
Home Address *
Street address
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Preferred Phone Number *
ex (860-111-1111)
Your answer
School Email Address *
Your answer
Home Email Address
Your answer
School Name/District *
Your answer
Do you have an dietary restrictions for lunches? *
Your answer
Current Member *
Are you a current member of CT COLT?
What language(s) and level(s) do you teach? Please check all that apply. *
Required
Is there anything you would like to add or ask?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of CT COLT.