Quantum Learning 2017
Registration Form

Program:
Excellence in Teaching: Essentials, Classroom Culture and Management, Design and Delivery

Date(s):
June 26 - 30, 2017

Time:
8:30 am – 3:30 pm

Location:
QLN Headquarters, 1938 Avenida del Oro, Oceanside, CA 92056
Map

Contact:
Cami Eiskamp
619-309-9683
ceiskamp@QLN.com


Fees:
$699 per person
$545 per person for five or more registering together from same district


Billing/Registration Contact
First Name:  
Last Name:  
Position:  
School/District/Organization Name:  
Address:  
Address Line 2:
City:  
State:
Zip:    
Country:  
Email:    
Phone:  

Participant Information Please provide summer contact information. (All fields required.)
First Name Last Name Position Org. Name Email Phone
(1)       



Payment    

  Payment Amount: $699.00        
  Name on card:    
  Card number:
  Expiration date:  
  Security Code:
(3-digit)
   

  Billing Address
Zip Code:
   
  Special Instructions:
 

Note: Fees include program materials. These fill up quickly, and seats are available on a first-come, first-served basis. Fee is non-refundable if cancellation is made within 10 days of the program. Substitutes are permitted with prior approval from QLN. Please send substitution request to Quantum Learning Education at contact@quantumlearning.com. If the minimum number of registrations is not met this workshop may result in a postponement or cancellation, and refund or credit will apply. Payments will not be processed immediately for this reason, but will be processed within two weeks of the program.

For questions regarding registration please contact Quantum Learning Education at contact@quantumlearning.com.


            Confirmation will be sent to the email(s) provided above.