JILL TRINKA Workshop
Registration Form for NJSMA Elementary Music Division Columbus Day Workshop
Date: Monday, October 8, 2018
Time: 9:30am-3:30pm. (Registration at 9:00am)
Location: The Mansion at Mountain Lakes (90 Rt. 46 East, Mountain Lakes, NJ)
$90 Registration fee includes: Workshop, Continental Breakfast, Buffet Lunch and SWAG bag
Jill Trinka Resources will be available for purchase. (cash/check only)
PD Certificates will be provided.
Email elementary@njsma.com with any questions.
Lisa Wichman, NJSMA Elementary Music Division Chairperson
Carol Richardi, NJSMA Elementary Music Division Co-Chair, Registrar
If your school is paying by Purchase Order, please share the below information with your business office:
Our official name is: North Jersey School Music Association. The organization address is: 819 Belmont Drive Hackettstown, NJ 07840. The Tax ID# is 22-3629391.
Registration fee payable to NJSMA.
Mail check or purchase order to: Carol Richardi, Registrar, 200 Monroe Ave, River Edge, 07661
IF YOU ARE REGISTERING AFTER 10/2, YOU MUST PAY AT THE DOOR, CASH OR CHECK.
JILL TRINKA (10/8/18) Workshop Registration Form
NJSMA Elementary Music Division Columbus Day Workshop
Name (first, then last): *
Your answer
School district *
Your answer
School name *
Your answer
School town and state *
Your answer
Preferred email address *
Your answer
What grades do you currently teach? *
Your answer
If you have dietary restrictions, please explain below. (i.e. gluten free) The venue provides gluten free options. *
Your answer
Check one: *
How did you hear about the workshop? *
Required
Indicate method of payment. *
Registration fee payable to NJSMA. Mail check or purchase order to: Carol Richardi, Registrar, 200 Monroe Ave, River Edge, 07661. I understand that I am not considered registered until either a check for $85 or notification of PO processing has been received.
Thank you for completing the registration form. PD certificates will be provided at the conclusion of the workshop. You will receive registration confirmation via email upon receipt of either a check or PO.
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of North Jersey School Music Association. Report Abuse - Terms of Service