Register
For a Discipline With Purpose Workshop
I would like to register for a 2008 workshop:
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__June 3-4 - Omaha, NE |
__Aug. 4-5 - Elkhart, IN |
|
__July 29-30 - Phoenix, AZ |
__Aug. 6 - Elkhart, IN - Graduate Day |
|
__July 31-Aug 1 - Richfield, MN |
__Aug. 6-7 - Antioch, CA |
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__July 31 - Phoenix, AZ - Graduate Day |
__Aug. 7-8 - Indianapolis, IN |
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__July 31 - Aug 1 - Yukon, OK |
__Aug. 11-12 - Fayetteville, AR |
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__Aug. 18-19 Alameda, CA
(Register by calling 1-800-691-4DWP
for this workshop. Prices differ.) |
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)
| * SPED / Early Child |
* 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. |
* P.E. |
* Media/Childs
Lit |
* Parent |
* Music lessons |
| * Musical songs |
* Art Packet |
*
Anti-Bullying Curriculum |
*
DWP
Grad
(Will bring binder) |
* Study Skills |
Specialist/other____________________________________________
Check enclosed for
____ $225 for one person
____ $200 for two or more "from the same school"
____ $160 if lesson plans have been purchased previously
____ $55 for Graduate Day or a DWP Graduate attending the workshop for a second time.
____ $95 for Graduate attending either the Graduate Day or Workshop and would like
to receive new lesson plans or materials.
____ $35 if a DWP workshop graduate and no new materials are needed.
____ Send directions
____ Hotel suggestions
____ Info about graduate credit
|
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. $200.00 |
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Item 1000-160
Workshop fee if lesson plans have been purchased previously. $160.00 |
|
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Item 1000-155
$55
for Graduate Day or a DWP Graduate attending the workshop for a second
time |
|
Item 1000-95
$95
for Graduate attending either the Graduate Day or Workshop and would like
to receive new lesson plans or materials. |
|
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Item 1000-35
Workshop fee if a DWP workshop graduate and no new materials are needed.$35.00 |
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)
1-717-247-0137
Fax - 717-247-0138
E-Mail DWPBV@aol.com |