Use this form to create a printable registration form that you can mail or fax to Springboard Schools.
Register Our Team for this Best Practice Institute!
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Please
fill out the following information and press the PRINT this PAGE button below.
Then fax or mail to the address below.
Recommended Team Makeup: Superintendent, Others from District Office, District ELD Coordinators, Principals, Assistant Principals, Teacher-Leaders
Recommended Team Size: 4-7 members. For larger teams, please complete the form a second time.
Investment: District BPI – $185 per person. Team of 4: $700. Additional team members: $170 each.
Middle Grades BPI – $75 per person.
Prepayment or a PO number is needed to complete your registration.
Refreshments are provided each day.
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Contact and Billing Information |
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District/Organization: |
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Expiration Date: |
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Your Team |
Participant 1 |
Participant 2 |
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Primary contact? |
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Primary contact? |
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Participant 3 |
Participant 4 |
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Primary contact? |
Check if primary contact |
Primary contact? |
Check if primary contact |
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Site Description: |
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Participant 5 |
Participant 6 |
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If you chose "other", please describe: |
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If you chose "other", please describe: |
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Primary contact? |
Check if primary contact |
Primary contact? |
Check if primary contact |
Site Name: |
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| Participant 7 |
Participant 8 |
Name: |
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Title: |
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If you chose "other", please describe: |
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If you chose "other", please describe: |
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Primary contact? |
Check if primary contact |
Primary contact? |
Check if primary contact |
Site Name: |
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Site Name: |
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Site Description: |
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Site Description: |
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Phone: |
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Phone: |
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Email: |
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After completing and
printing this form |
Mail to:
Springboard Schools
181 Fremont Street, 2nd Floor
San Francisco, Ca 94105 |
Fax to:
415 348-1340
Attn: M. Antone |
Please include your PO or check.
Thank You! |
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