Fillable Summer 2021 Four-Day Institute Registration Form

Fill Online, Printable, Fillable, Blank Summer 2021 Four-Day Institute Registration Form Form

Use Fill to complete blank online OTHERS pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Summer 2021 Four-Day Institute Registration Form

On average this form takes 22 minutes to complete

The Summer 2021 Four-Day Institute Registration Form form is 3 pages long and contains:

  • 0 signatures
  • 14 check-boxes
  • 83 other fields

Country of origin: OTHERS
File type: PDF

BROWSE OTHERS FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
1 of 4
Summer 2021 Four-Day Institute Registration Form
To register, complete this form and submit it with your preferred method of payment. To register multiple participants, complete a
copy of pages 1 through 3 for each individual who wishes to attend, plus one copy of the “Payment Information” (page 4) for the
whole group.
Special Notice: The COVID-19 pandemic continues to affect the scheduling of our courses. In the event that we cannot provide in-person
training, we are prepared to conduct a robust and engaging virtual learning experience. Should that be the case, we will ship all course
materials directly to each participant.
Participant First Name _ Last Name
School
District
Position Grade Level(s)
Email
Shipping Address for Workshop Materials
How did you hear about this workshop?
☐ My school referred me ☐ A Colleague referred me ☐ Social Media ☐ RC Marketing Email
☐ Fly Five marketing email ☐ CRS Membership ☐ Catalog/brochure on our product
☐ Another Professional Organization ☐ General Internet search
Course Information
Participants who complete one of these courses will receive a 28 hour certificate of attendance. Events
typically run from 8:00 am to 3:30 pm and vary slightly from event to event. Please refer to
your confirmation email once registered for the specific schedule of your event.
⮚ Elementary Core Course (RCC-E) 4-day course
• For K-6
th
grade educators
• Includes: Resource Book, Avenue A Books "Charlie and the Octopus" and
"The New Bird in Town", Yardsticks, and The First Six Weeks of School
⮚ Middle School Course (RCC-M) 4-day course
• For 5
th
-8
th
grade educators
• Includes: Resource Book, Yardsticks, and Building an Academic Community
⮚ Elementary Advanced Course (RCAC)** 4-day course
• For K-6
th
grade educators
• Includes: Resource Book, The Joyful Classroom, and Teaching Self-Discipline
**The Elementary Advanced Course has a mandatory prerequisite of having completed the 4-day Elementary Core Course. In
order to register for RCAC, indicate when and where you took RCC-E:
Location ________________________________________ Dates ____________________________________
2 of 4
Indicate your choice by checking the box corresponding to the location/date.
Note that not all courses are offered at all locations! Grey boxes indicate an unavailable course.
Dates
Locations
RCC-E
RCC-M
RCAC
July 6 - 9
Central European Summer Time VCES22
July 6 - 9
Singapore Standard Time VSNG22
July 13 - 16
Burlington, MA BUMA22
July 13 - 16
Central Time HOTX22
July 13 - 16
South River, NJ SONJ22
July 13 – 16
Eastern Time V7ET22
July 13 - 16
Pacific Time V7PT22
July 20 - 23
Central Time NOLA22
July 20 - 23
Eastern Time NYNY22
July 20 - 23
Pacific Time SCCA22
July 20 - 23
Woodbury, MN WOMN22
July 27 – 30
Central Time CHIL22
July 27 – 30
Concord, NH CONH22
July 27 – 30
Pacific Time LOCA22
July 27 – 30
Eastern Time NWNY22
August 3 - 6
Bear, DE BEDE22
August 3 - 6
Central Time CIIL22
August 3 - 6
Medway, MA MEMA22
August 10 - 13
Minneapolis, MN MIMN22
August 10 - 13
Owing Mills, MD OWMD22
August 10 - 13
Wallingford, CT WACT22
August 17 - 20
Eastern Time VLET22
September 11 – October 2
Eastern Time EMSEP22
Our website is updated frequently as courses fill. We suggest checking our website before submitting
your paperwork to see if space is still available. If your first choice is full, we would be happy to put you on
a waiting list or you may select another site.
3 of 4
Payment Information
Course Title
Price per
person
Total
Elementary Core Course
$829
Middle School Course
$829
Elementary Advanced Course
$829
Grand Total
Contact name Phone
Email address
To register participants, we must receive one of the following:
Copy of an official school/district purchase order
I am including a signed copy of purchase order number
Process invoice on/after July 1
Check made payable to “CRS, Inc.”
Check number is enclosed
Request for application of a CRS credit on account (credit memo)
Apply available credit on account from Credit Memo number
Wire transfer
Schools outside of the U.S. may pay via wire transfer. To use this method please contact our
office for details. You will also need to pay an additional 26 USD wire transfer fee.
For payment via credit card (MasterCard or Visa), use our secure online payment process. To learn more visit
www.responsiveclassroom.org/how-to-register/
Email, mail, or fax this form, along with payment or purchase order, to:
Center for Responsive Schools, Inc.
85 Avenue A Email: registration@responsiveclassroom.org
P.O. Box 718
Turners Falls, MA 01376 Fax: 877-206-3952
We will confirm registration using the participant(s) email within 3 business days after we have received this
completed form and payment or purchase order. Please do not consider participants registered until a
confirmation email has been received.
Cancellation Policy
:
For the full cancellation policy, visit our website at www.responsiveclassroom.org/cancellation-policy/
Questions? Email registration@responsiveclassroom.org or call 800-360-6332 ext. 130
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Summer 2021 Four-Day Institute Registration Form

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 7 July 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document