Group Registration Form Please send a check for the full amount due with your registration form. If you would like to pay with a charge card please contact Traci Pethick. Once the form is received you will receive a confirmation of registration via email at the address listed in the “Contact” section. If you have any questions please contact Traci Pethick at 616-419-4329 or
[email protected].
School District: Address: Phone Number: Contact Name: Contact Phone Number: Contact Email: Please rank workshops by preference. (1 being first choice, 5 being last choice)
Name
Email
Grade Level Taught
A
B
C
D
E
