Raíces y Semillas - Parent and Community Institute Registration

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November 12, 2021 • 12 de noviembre 2021

La Cosecha 2021 is excited to announce Raíces y Semillas Instituto/Parent and Community Institute. This in-person experience is designed for parents and community members. Participants will leave La Cosecha with actionable steps in being an educational partner/leader, and community advocate.

Schools can register their parents and community members at a special price of $75 per person for the in-person 1-day institute.

Districts/Schools can support parent and community member attendance through Title I, III, and VI funding, as well as ESSER and ARPA funds, as aligned to supporting COVID-recovery in schools.

Email *

Teacher/Sponsor Information

Please note that the teacher/school sponsor completing this form MUST attend the entire student leadership institute in their role as a chaperone or assisting with facilitation when called upon.

Attendee Last Name *

Attendee First Name *

School Name *

Phone Number *

Registration Type *

In-Person Registration - $75

Required

Billing Contact Name *

Billing Street Address *

Billing City, State, Zip Code *

Billing Information

Make checks and purchase orders payable to:
Dual Language Education of New Mexico
P.O. Box 91508
Albuquerque, NM 87199

Note:
• If payment is through a purchase order or institutional check for more than one registrant, please list each registrant's name on the purchase order.
• Only purchase orders that release a payment check within 30 days of issue will be accepted.
• All checks and purchase orders must be postmarked by November 1, 2021.
• Dual Language Education of New Mexico uses PayPal and Quickbooks to process credit cards. We will send a receipt to your email address upon completion of the transaction.
• An invoice will be sent within two (2) weeks and will serve as registration confirmation.
• If you have registration or payment questions please contact information@dlenm.org.
• The registration coordinator may contact you with any questions regarding your registration form or payment.

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

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