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Workshop/Support Registration
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  1. Please fill out this form completely, * represents required fields.
  2. If you have missed anything, you will see a red error message displaying the incorrect field.
  3. Click the submit button at the bottom of the page.
  4. After submitting the form, you will see a Registration Complete message.
  5. You will receive a confirmation email within 2 days of registering. If you do not receive this email, please email Shirley Farmer, sfarmer@sckesc.org.

Cancellations must be received 48 hours in advance or fees will be due; same district substitutions are allowed. If SCKESC is not notified of a cancellation, the district is still responsible for the enrollment fee.

We understand that there can be emergencies and we will work with those on an individual basis once we have been contacted in a timely manner.

 
Workshop & Date
District Information
 
USD Number and Name *
 
Contact Person *
   
Contact's Phone *
   
Contact's Email *
Registrant's Information
 
Name *
 
Street Address *
 
City *
State
   
Zip or Postal Code *
   
Home Phone *
 
Cell Phone
 
Work Phone
   
Email *
 
Grade Level *
Member Status:
 
Payment Options: *
Purchase Order #
(Make individual checks to SCKESC, due the day of the workshop)
Notes/Questions


P.O. BOX 160. 13939 Diagonal Rd  |  Clearwater, KS 67026  |  Phone: 620-584-3300  |  Fax: 620-584-3307
© 2007 South Central Kansas Education Service Center