Inspired Learning PD 2019-2020 - Registration Form
Please complete this form for each member of the team that is attending the workshop.
Email address *
I would like to register for the following conference(s). *
(If you are registering for The Inspired Learning Convention (March 2, 2020) follow this link: http://www.inspiredlearningproject.com/2019-convention.html
Required
First Name *
Your answer
Last Name *
Your answer
School / Organization *
Your answer
Position/Role *
Your answer
Primary Phone Number *
Your answer
Emergency Contact Name
Your answer
Emergency Contact Phone Number
Your answer
Total Cost of Conference(s)
Your answer
Payment Type *
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