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K-12 classroom teachers, ESL teachers, instructional specialists, and administrators!
Registration Information


- Conference Registration Form-

Please fill in the required fields so that we may accurately complete your registration.
You will receive confirmation within 48 hours.

If you have any questions filling out this form,
please contact Julie Abels at 866.399.6019 ext. 231.

Click here for logistics information.

Conference
  Conference Name:
     
Full Conference Registration

$645 individual participation

$620 per person for groups of three or more
 
Contact Information
  Title (Dr., Mr., Mrs., Ms., other):    
  First Name:    
  Last Name:  
  Name for Badge:  
  District/Organization:
  
  School:  
     
  Address:  
  City:  
  State:  
  Zip code:  
     
  Day Time Phone:  
  Cell Phone:  
  Fax:  
  Email Address:  
  Confirm Email Address:  
       
Session Selection  
  THURSDAY, FEBRUARY 5, 2009
    8:30 A.M. - 3:30 P.M. - Writing To Learn: Instructional Strategies For Nonfiction Writing
    OR
    8:30 A.M. - 3:30 P.M. - Interactive Writing for English Learners - Writing in Action!
    OR
    8:30 A.M. - 3:30 P.M. - The Write Tools For Writing Across The Curriculum
     
  FRIDAY, FEBRUARY 6, 2009
    10:00 A.M. - 4:00 P.M. - Writing To Learn: Assessing Nonfiction Writing
    OR
    10:00 A.M. - 4:00 P.M. - Interactive Writing for English Learners - Writing in Action!
    OR
    10:00 A.M. - 4:00 P.M. - The Write Tools for Personal Narratives
 
Special Dietary Requirements/Food Allergies  
     
         
Please Let Us Know How You Heard About This Event  
  Advertisement in:  
  Referral from:  
  Postcard:    
  Email Message from the Center:    
  Personal Contact from the Center:    
  Other:  
         
Will You Be Registering One More Person for this Event  
  No     Yes      
  Answering 'Yes' to this question will allow you to register more than one person on the same credit card or purchase order. You will need to submit a form for each member attending. If different members of the group are paying individually (for example with different credit cards), you must answer No to this question and create separate registrations for each.
  
         
Purchasing Information    
  P.O. # (only for PO purchases):  
       
  Credit Card: VISA  
  MasterCard  
  Discover  
  Credit Card Number:  
  Security Number:  
  Expiration Date:  
  Billing Address:  
  City:  
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  Zip code:  
  Name (as it appears on the card)  
         


The Leadership and Learning Center
   317 Inverness Way South, Suite 150  Englewood, Colorado 80112
U.S. 866.399.6019
   Info@LeadandLearn.com
International: +1.303.504.9312
   LeadandLearn.com