| SCHOOL INFORMATION
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| School Name |
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| Address |
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| City |
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| State |
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| ZIP |
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| Phone |
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| Check one |
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| School District |
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| Local district # (LAUSD only) |
If not applicable, type "none" |
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| TEACHER CONTACT INFORMATION |
| Teacher Name |
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| Grades Taught |
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| Subject area(s) |
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| Contact Phone |
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| Alternate Phone |
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| Email Address |
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| How many teachers attending from your school? |
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| Names of all teachers participating from your school. |
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Will this be your first Skirball Professional Development course?
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If NO, in which course did you participate? Check all that apply.
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If YES, who referred you to the Skirball?
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| TEACHING OUR WORLD THROUGH THE ARTS |
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Sign me up for ONE, TWO, or THREE STRANDS only!
Check your choices(s):
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Fees:
Any one strand (four classes): $80
Any combination of two strands (eight classes): $120
Any combination of three strands (twelve classes): $160
All four strands (sixteen classes): $200
*Schools that send 3 or more staff will receive a 50% reduction in course fees for each participant (this offer excludes single class registration).
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**Registrants who are Skirball Members receive a 25% discount. Member ID Number (required).
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| Payment not required at this time. You will be contacted by confirmation email. |
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