Program Registration Form

Fostering Perseverance in the Math Classroom

All fields are required. Please remember to click on the Submit button after completing your form.

First Name

Last Name

Title/Position

District (Organization)

Address

City

State

Zip Code

  Phone Number

Extension

Alternate Phone Number

Email Address

Location

Fairfield, California

Please tell us how
you learned about
this workshop

Friends/Colleagues
Web Site
Email/Flyer
Employer

Please indicate your
Payment Method

Prepayment (Check/Warrant)
District Purchase Order [Enter P.O.# below]

 


The payment or PO should be received at TSS office by April 21, 2017.

Comments

Cancellation Policy Acceptance  

By completing the registration, you accept the cancellation policy. Please review the cancellation policy below.

Fees and Cancellation Policy

Cost: $269 until April 21, 2017, $339 after April 21.
Purchase orders or checks must be received by April 21.
Cancellations received by April 21, 2017 will be subject to a $50 fee.
Cancellations received after April 21 and “No Shows” will be subject to the full fee.

All cancellations must be submitted in writing.