Register
For a Discipline With Purpose Workshop
I would like to register for a 2012 workshop:
.
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____July 30-31, 2012 - Basic Training - Elkhorn, NE |
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____Aug. 1-2, 2012 - Basic Workshop - Phoenix, AZ |
____Aug. 3, 2012 - Graduate Day - Phoenix, AZ |
| • 3 Hr. Online Graduate Credit
class from Peru State University to begin March 12, 2012 and run through May 4, 2012. See additional information under
College Credit. |
Name: ____________________________________________________
Address: _______________________City: ____________St. ________
Zip: ________________________ Phone ( )________________
School: ______________________ Position _____________________
Email: ____________________________________________________
As part of the workshop fee I would like to receive lesson plans for: (circle one)
| * Pre-school + Kinder |
* Gd 1 |
* Gd 2 |
* Gd 1/2 Rel. Ed. |
|
| * Gd 3 |
* Gd. 4 |
* Gd 3/4 Rel. Ed. |
* Gd 5 |
* Gd 6 |
| * Gd 5/6 Rel. Ed. |
* Gd 7 |
* Gd 8 |
* Gd 7/8Rel. Ed |
* Computer |
| * Admin. |
*
DWP Committee Booklet |
* P.E. |
* Media/Childs Lit |
* Parent |
| * Marching Into Music |
* Art Packet |
*
Anti-Bullying Curriculum |
*
DWP
Grad
(Will bring binder) |
* Study Skills |
Specialist/other____________________________________________
Check enclosed for
____ $225 for one person
____ $205 for two or more "from the same school"
____ $170 if no lesson plans ordered
____ $65 for DWP Grads
____$100 for Grads attending who need new materials.
____ Send directions
____ Hotel suggestions
____ Info about graduate credit
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Credit cards for this workshop are accepted. |
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Item 1000-225
Workshop fee for one person. $225.00 |
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Item 1000-195
Workshop fee for two or more. $205.00 |
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Item 1000-160
Workshop fee if lesson plans have been purchased previously. $170.00 |
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Item 1000-155
$65
for Graduate Day or a DWP Graduate attending the workshop for a second
time |
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Item 1000-95
$100
for Graduate attending either the Graduate Day or Workshop and would like
to receive new lesson plans or materials. |
Mail completed form
at least 3 weeks prior to the scheduled workshop to:
Discipline With Purpose, Inc.
117 Woodland Circle
Reedsville, PA 17084
1-800-691-4DWP(4397)
1-717-667-3451
Fax - 717-667-6554
E-Mail DWPBV@aol.com |