Fillable One-day Workshops 2021 Registration Form (Responsive Classroom)

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One-day Workshops 2021 Registration Form (Responsive Classroom)

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Center for Responsive Schools, Inc.
One-day Workshops 2021 Registration Form
To register, please complete this form and submit it with your preferred method of payment. To
register multiple people, complete a copy of page 1 for each individual who wishes to attend, plus
one copy of “Payment Information” (page 2) for the whole group.
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 products
Another Professional Organization General Internet search
The following workshops have a mandatory prerequisite of having completed the
4-day Elementary Core Course (RCC-E) or Middle School Course (RCC-M):
Responding to Misbehavior - Improving Teacher and Student Language - Addressing Middle School Challenges Sustaining
Responsive Classroom Momentum - Connecting Morning Meeting and Academics
Step 1: Confirm your workshop, date, and time zone on our website at:
https://www.responsiveclassroom.org/courses/odw-fy21/
Step 2: Tell us your workshop choice, date, and time zone below.
WORKSHOP:
DATE:
TIMEZONE:
2 of 2
Payment Information
Workshop
Price per
person
Number of
Participants
Total
Introduction to Responsive Classroom for K-8 Educators
$199
Special Area Teachers
$229
Responding to Misbehavior
$249
Improving Teacher Student Language
$249
Connecting Morning Meeting and Academics
$249
Addressing Middle School Challenges
$229
Leadership Seminar
$199
Keep Your Fire Burning
$229
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
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
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
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One-day Workshops 2021 Registration Form (Responsive Classroom)

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Completed 13 July 2021

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