White River Site Visitor Application 2018-19
Payment can be made by check or cash. (We are unable to process credit cards.)
Please wait for confirmation of registration before making travel arrangements.
Cancellations within 60 days of the visit are non-refundable
Name of District
State or Province
Zip or Postal Code
Contact person (name)
Contact person's phone number
Contact person's email address
Do you need a W9 form from us?
Select site visit date
October 15, 2018
February 11, 2019
March 18, 2019
Please select as many as apply, for the team you are sending.
Middle school/Junior high teachers
Middle school/Junior high administrators
High school teachers
High school administrators
Central Office admin/staff
School Board member(s)
Total number of people who will be attending:
Total payment will be ($100 per person)
We will be paying with:
Purchase Order (email to
Check or Money Order (US Funds) mailed to WRSD Business Office, Attention Accounts Receivable, PO Box 2050, Buckley, WA 98321
At least TWO WEEKS prior to your visit, please upload a document or spreadsheet that includes Name of School, Full Name of attendee, Job Description (ie: 4th gr teacher, or HS ELA teacher, or Elem Math TOSA) and COMPLETE email address for each attendee. You may use template, or create your own list. Alternatively, you can email the same to
Would you like us to reserve a space for your team to debrief after visit?
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