Please provide the following information:

Your Name
E-Mail Address
School District
School Name
School Phone Number
Position
Grade Level Taught
Home Address
City
State
Zip
Home Phone
Workshop Title
Date(s)
Fee
	Workshops are open to all regularly employed teachers and administrators. Substitute teachers will be accepted on a space availability limitation. Please be sure to include your social security number when registering. This information is needed for our computer records. Request for refunds must be submitted two weeks before a program is scheduled to begin. There will be no refunds after that date. All fees, however, will be returned if a program is cancelled.
	Send workshop fee with workshop name on check to:                      Two Rivers Professional Development Center                                     10112 W. Dubois Road, Edwards, IL   61528
Back to Workshops Description Page	To submit registration please press "Submit Form."