Register Virtual Class

Virtual Classroom Registration

Complete the Registration Form below and select Submit to register online.

For multiple registrations or to register offline, please complete one Registration Form for each workshop attendee and mail, fax or email it with your check or purchase order to 21st Century Schools. Send to 21st Century Schools, 648 Green Pine Drive, Pensacola, FL 32506 Phone (850) 457-2946. Fax (850) 457-2930. Email: Director@21stCenturySchools.com

Printer-friendly registration form.

Virtual Course Registration
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?
Fees	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
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?
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.

Click here to pay by credit card.