Orton-Gillingham Associate Training Registration Request

Thank you for registering for our virtual Orton-Gillingham training!

**Your space is not guaranteed until we receive a deposit or a PO.** If paying using a PO, we will email you a W9 and course quote for your school.

We reserve the right to cancel the course if enrollment is insufficient. If the course is cancelled, you will be refunded. If you withdraw from the course, there is a $100 processing fee. No refunds will be made unless your cancellation is received at least 14 days before the first day of training.

NOTE: we do not share any of your personal details. We ask for personal contact information so that it's easier to get ahold of you as we come closer to the training dates.


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Email *
Second Email (in case the first one bounces back) *
Registrant Name *
Are you the registrant? *
Are you a... *
Required
School (if applicable) *
Personal Phone Number (to help with training day mishaps) *
Address where materials will be sent *
Part 1 Course Option (must be taken before Part 2) *
Part 2 Course Option (must take Part 1 first) *
Payment Option *
It is expected that you:

 1) Join the Zoom sessions on a computer with a working camera and microphone, NOT a mobile device.
 2) Have the camera on at all times to show attendance and to be ready to participate.
 3) Attend all days (this is required by the Orton-Gillingham Academy).
4) Understand that if you withdraw from the course prior to 14 days, there is a $100 processing fee. No refunds will be made unless your cancellation is received at least 14 days before the first day of training. 

Do you agree to these expectations?
 *
How did you hear about this training? (Please choose all that apply.) *
Required
Highest level of education obtained. 
 *
A copy of your responses will be emailed to the address you provided.
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