Implementing Restprative Practices in Kansas Schools

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Dates: September 27-28, 2018 8:45 AM - 4:30 PM
Location: KIPCOR at Bethel College
2515 College Avenue
North Newton, KS 67117

First Name *

Last Name *

School Building *

School District *

Title/Grade Level *

Mailing Address *

Street Address/PO Box

City *

State/Province *

ZIP (Postal Code) *

Phone *

Email Address *

I request information regarding college credit.

Yes

I wish to receive Continuing Education Units for Social Workers.

Yes

Registration Fee

$200 if the non-refundable $50 deposit is received by September 14, 2018; $300 thereafter. Tuition covers text, other materials, and refreshments. Lunch is on your own.

Refund Policy

If you must cancel your registration, please do so as soon as possible. A refund, minus a $50 processing fee, will be made if cancellation is received no later than seven days prior to the beginning of the training (8:45 AM September 27, 2018). Thereafter, refunds are unavailable.

Cancellation Policy

KIPCOR may cancel or postpone any training course because of insufficient enrollment or other unforeseen circumstances. If there is a cancellation or postponement, liability is limited to the registration fee.

Payment Options

Form of Payment *

Checks made payable to KIPCOR can be mailed to KIPCOR, P.O. Box 276, North Newton, KS 67117. Please call our office at (316) 284-5217 to make a credit card payment. Forms of credit accepted are Discover, Mastercard, and Visa.

Check to be mailed

Credit card charge (please call 316-284-5217)

Required

Submit

Clear form

Never submit passwords through Google Forms.

Forms

This form was created inside of Bethel College.