Complete online registration for each attendee.
Check appropriate box(es) for the Pre-Summit Institute and the Summit Payment Form.
Payment must be received by the discount dates in order to secure reduced fees.
No refunds will be approved after September 30, 2007
A $50.00 administrative fee for cancellations made in writing and sent by September 30, 2007.
REGISTRATION
   
 
First Name:

 		  Last Name:

 
Home Address:
  
City:   State: Zip Code:
     
Phone Number:
                           
Email Address:  
          
Name of School or Office:
 
School District or Company:
 		 Title and/or Position:
Summit Fees: CHECK THOSE THAT APPLY
  

                                                                      
                                                           
RETURN PAYMENT TO:
Staff Development Services
Omaha Public Schools
3215 Cuming Street
Omaha, NE 68131-2024
Phone: 402.557.2350
Fax: 402.557.2358