Register for Workshops Here

Complete the Registration Form below and select Submit to register online. You may also register by phone or email.  Or you may just email us the name of the workshop(s) you wish to attend, with names, titles and contact information.

Phone (850) 457-2946.        Email:  Director@21stCenturySchools.com

Registration fees include: Registration, Materials, and deluxe Continental Breakfast, Midmorning and Mid-afternoon Snack Breaks!

 

Name
Title
Grade Level or Subject
University or other organization
Campus or Office
Address 1
Address 2
City, State, Zip
Country
Phone
FAX
e-mail
URL
Attending which workshop?	Please Select Summer Institute 2012, July 9-20, 2012 (ten days),San Antonio, Texas Week One only, Summer Institute, San Antonio, July 9-13, 2012 Week Two only, Summer Institute, San Antonio, July 16-20, 2012 San Antonio, Texas, Media Literacy, July 9 and 10, 2012 San Antonio, Texas, Greening the Classroom, July 11, 2012 San Antonio, Texas, Designing the 21st Century Classroom, July 12 and 13, 2012 San Antonio, Texas, Innovation & Entrepreneurship, July 16-18, 2012 San Antonio, Texas, Web 2.0 Tools for the 21st Century Classroom, July 19 & 20, 2012
Fees	Fee includes your Registration, Materials, a Continental Breakfast, Midmorning Snack and Mid-afternoon Snacks. Registration fees are due at time of registration.  Purchase orders stating that payment will not be made until after services have been rendered and/or stating that payment will be made within sixty days, does NOT change or override our company policy of payment being required prior to the workshop.
Please select method of payment	Please select the method of payment you are using: District or School check Purchase Order Credit Card Money Order
Purchase Order #
Check #
If paying by credit card please click Credit Card Payment below this form. Please send either school district or university checks, certified checks or money orders.  Although you may register with a PO number, payment in full is due prior to the workshop.  No personal checks will be accepted.
Please provide billing address if different from above
Billing Office
Address 1
Address 2
City, State, Zip
Phone
FAX
e-mail
Where did you hear about this workshop? Please Select One ----> Friend Web Search News Group Other
Thank you for taking the time to provide this information.  Have a great day!

The fine print:  Cancellation:  a fee of $50 will be retained for cancellations received in writing 30 days before the event.  After that date, registration fees will not be refunded, though they may be transferred to another participant.  Unless you notify us otherwise in writing, we retain the right to take photographs of participants during the conference and use those photographs in our educational and promotional materials.  21st Century Schools, LLC reserves the right to cancel a workshop for any reason.  If we must cancel, we will refund registration fees.  We are not responsible for expenses incurred by the purchase of non-refundable air tickets or any other expenses.  We also reserve the right to change the conference location if necessary, and will notify you immediately if such a change occurs.  Please note that the workshop registration fee does not include airfare or sleeping rooms.  No Show" Policy- Anyone registering for a workshop and not attending without notifying 21st Century Schools within the cancellation deadlines will be billed in full.

I have read and accept the registration information, terms and conditions.