SWI Registration Form
Please complete this form to register for the class.  Your name will be added to the class after payment is received (link at the end of the form).   If you wold like to see the Outline for this class, click this link (it should open in a new tab, allowing you to click back onto this registration form):  https://docs.google.com/document/d/15BY-yBmoUFXbusO0ckXPglgTbDciWA2PRt0TfP_9APg/edit?usp=sharing 
Sign in to Google to save your progress. Learn more
Empower Learning Center
Your name *
I am registering for:
Clear selection
INTRO class only:  Dates of class you are registering for?  (Eastern Time Zone -- Detroit MI -- Converter:  http://www.thetimezoneconverter.com/) *
Required
For classes in July 2019 -- Please click 1 time slot/date in each of the next 3 questions to chose the 3 episodes you are attending:
9:30 am - 11:00 am - July 8
n/a
2:00-3:30 pm-- July 18
Episode 1 (Locust)
Episode 1 (Birch)
Episode 1 (Oak)
Chose a time slot/date of the 2nd episode you'll attend:
9:30 - 11:00 am -- July 9
n/a
2:00-3:30 om -- July 23
Episode 2 (Locust)
Episode 2 (Birch)
Episode 2 (Oak)
Chose a time slot/date of the 3rd episode you'll attend:
9:30-11:00 am -- July 10
4:00-5:30 pm -- July 15
2:00-3:30 pm -- July 30
Episode 3 (Locust)
Episode 3 (Birch)
Episode 3 (Oak)
Are you a.....? (check all that apply) *
Required
If Other, please list:
What type of student(-s) do you service? (all that apply) *
Required
If other, please list:
Please list the city & state & country (if outside of the US) or region of the country you are in: *
Your experience level with SWI & reason for taking the class (check all that apply) *
Required
Please list any other reason you are taking this class & any experience level not covered above:  
What do you hope to gain from this class?
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms