AT Applications Class - Registration

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Email *

Name and Email Address of Each Participant *

Please indicate number of attendees if specific names are unknown at this time.

School District / Agency *

Name of Billing Contact or Supervisor at School District *

Email Address of Billing Contact or Supervisor at School District *

Registering for: *

The class will be held over two mornings, 8:30am-11:30am via Zoom. Class cost is $295 per participant. Discounted price of $250 for 3 or more participants that register together.

Fall Session: Tues. Oct. 11 & Tues. Oct. 25 (register by Sept. 30)

Winter Session: Wed. Jan. 18 & Wed. Feb. 1 (register by Dec. 16)

Spring Session: Thurs. March 9 & Thurs. March 23 (register by Feb. 9)

Other information *

Please indicate any other information, questions or requests here.

Thank you for registering.

You will receive a copy of this form immediately.
You will receive an invoice with payment information within the next 5 business days.
Please feel free to contact me with any questions. (323) 333-5674 diana.neskovska@gmail.com

A copy of your responses will be emailed to the address you provided.

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