Best Practices in Inclusive Education: Wisconsin

Best Practices in Inclusive Education: Wisconsin Summer Institute

Registration

Return the registration form by June 1, 2010 for the early registration price. Registrations will be accepted until the start of the Institute as long as space is available. (If registering on-site, please call in advance to see if space is still available). Please mail your registration with a check or purchase order as soon as possible. The cost for the entire Institute is $145.00 per person if registration and payment is received on or before June 1 and $155.00 per person if registration and payment is received after June 1. For those who are interested in attending only one day of the Institute, the cost is $80.00 per person. The registration fee includes lunch on Tuesday and Wednesday, beverage breaks, and an Institute notebook with resource materials. If you have any questions related to the Institute, please contact Kim at 414-881-8101 or Beloin@att.net. Consider inviting a paraprofessional, parent, or fellow colleague to attend with you. I look forward to seeing you at the 17th Annual State-wide Institute on Best Practices in Inclusive Education!

Print the registration form or register online:

Please make checks payable to "Summer Institute on Inclusion" and return to: Summer Institute on Inclusion c/o Dr. Kim Beloin 357 Juniper Court Grafton, WI 53024
Contact Person
Position
Contact's Email Address:
School Name
School Level	Elementary Middle High
School Address
City
Zip
School District
Contact Person's Summer Address
Contact Person's Cell or Home Phone
Team Member #2 Name
Team Member 2 Position
Team Member 2 Email
Team Member 3 Name
Team Member 3 Position
Team Member 3 Email
Team Member 4 Name
Team Member 4 Position
Team Member 4 Email
Team Member 5 Name
Team Member 5 Position
Team Member 5 Email
Total Due (# Attending Full Institute @ $155)
Plus Total Due (# Attending One Day Only @$80)
If Attending One Day Only, # Attending Tuesday, July 27
If Attending One Day Only, # Attending Wednesday, July 28
PO #
Bill To Name
Bill To Address, Town, Zip

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