2020_FEB Sign-Up for OG Math Multisensory Training(s)

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Date: 2/18-19/2020 (Tues & Wed) - TRAINING A (add/subtract & multiply/divide)

Date: 02/20/2020 (Thursday) - TRAINING B* (fractions) *Prerequisite-A

Time: 8:30 AM to 4:15 PM (45 minutes for lunch, bring your own)

Place: Decatur Hwy Church of Christ, Gardendale, AL 35071

Cost: $125 each day

**Optional Manipulative Blocks, add-on $90 to pre-order for use of your own AFTER class training -must be registered by Friday, 2/10/2020 for me to order them.
Ex. Training A w/manipulatives = (250 + 90) = $340
Ex. Training A & B w/manipulatives = (375 + 90) = $465

Email *

First Name *

Last Name *

Phone Contact (personal) in case needed on morning of event *

School or Company Name (optional)

Street Address (optional)

City *

State *

Other:

Required

Zip Code *

County (used for our Data) *

Current Position (check all that apply) *

Teacher/Instructional Aide

Tutor

Parent of Struggling Learner

Supervisor/Administrator

Other:

Required

Business or School Setting *

Home School

Public School

Private School/Business

Online

Required

I understand that this form gives my contact information to register my name for the training. However out of the 30 spots available, my spot is not confirmed/finalized until my payment or PO # is received by AGC (any questions, contact Angela at 205.903.5755-cell/text or FB Messenger AlabamaGameChangers) *

Yes

Signup for the following training options & notice cost of choices: *

Training A (2 days) - $250 (add/sub, mult/div)

Training B*(1-day) - $125 (fractions) *Pre-requisite is Training A

Both Training A & B - $375

It is before 2/10/2020 and I would like to order a set of Math Manipulative Blocks for $90. **Note these are NOT needed for the training, nor does the trainer or AGC endorse any product for profit.

yes

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I understand - In case of a refund request, there will be a $25 processing/handling fee deducted from the refund amount which will take up to 3 weeks after the event to process. As AGC understands sickness/incidents happen, we still have to cover event costs as we are a non-profit organization. *

yes, I understand

Payment Options *

PayPal Link - use of Credit/Debit Card (add'l $10 charge)

School PO

Check - payable to AL Game Changers, mail to AGC, 501 Park Ave., Hoover, AL 35226

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