805-975-6338

2017 Summer Institute Group Registration Form

If registering as a school group, please complete the information below:

All fields required.

Participant Information
Enter each participant's name, and select a grade level, and a strand.

1.
Strand 1 Strand 2
2.
Strand 1 Strand 2
3.
Strand 1 Strand 2
4.
Strand 1 Strand 2
5.
Strand 1 Strand 2
6.
Strand 1 Strand 2
7.
Strand 1 Strand 2
8.
Strand 1 Strand 2
9.
Strand 1 Strand 2
10.
Strand 1 Strand 2
Name of principal attending free with 10 or more participants:  
 
If paying for 1-10 participants total, pay here before submitting this form:  
OR enter purchase order number here:
If registering more than 10 participants, enter payment information below.
 
11.
Strand 1 Strand 2
12.
Strand 1 Strand 2
13.
Strand 1 Strand 2
14.
Strand 1 Strand 2
15.
Strand 1 Strand 2
16.
Strand 1 Strand 2
17.
Strand 1 Strand 2
18.
Strand 1 Strand 2
19.
Strand 1 Strand 2
20.
Strand 1 Strand 2
If paying for 11-20 participants total, pay here before submitting this form:  
OR enter purchase order number here:
 
Number of participants who will need transportation to and from the Hampton Inn & Suites, Elk Grove and the Summer Institute at YPSA School:   

After you have completed all the information above and paid via PayPal or entered a purchase order number, please submit this form by clicking the "Register" button below:


 
 
 

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Center for the Future of Public Education
PO Box 2989
Paso Robles, CA 93447

805-975-6338


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