Essentials in Learning Workshop Registration
Please register each student separately.  NOTE:  Choose the appropriate workshop/camp from the 1st drop-down menu .
(Click directly on gray text to fill out short answer or see drop-down options)
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Email *
Workshop choice *
Student name *
Student's school *
Grade level *
Parent/guardian name *
Parent/guardian phone *
Parent/guardian email *
Optional student information
The following items will help us prepare for your student.  We are able to differentiate within the workshop for a variety of student needs.
Basic information
What are your student's struggles?
What do you HOPE for your student as a result of this workshop or camp learning experience?
An invoice will be emailed upon receipt of this registration with a link to pay online via credit card (including a 3.5% processing fee).  Or you can mail a check  to Essentials in Learning, LLC, 2591 Legacy Way, Grand Junction, CO  81503.  Your spot will be reserved upon receipt of payment.  Space is limited to 25 students for workshops and 15 for camps.  
Method of payment
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