Educational Partnership Registration

Additional Teacher Registration

Cost: Each additional Educator is $100. This registration covers the online course ONLY and does not include our Tools for the Journey conference.

Parent Name (Required)

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Student Name (Required)

Grade (Required)

School (Required)

School District (Required)

Administrator's Name (Required)

Administrator's Email (Required)

Please list additional Teachers Names AND Emails: (Required)

How Many Teachers will be attending?

1 Teacher
2 Teachers
3 Teachers

Credit Card Information

Cardholder Name (Required)

Credit Card # (Required)

Visa MasterCard American Express Discover

Expiration Date (Required)

Security Code (Required)

Visa®, MasterCard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

Billing Zip Code (Required)

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

Educational Partnerships

Additional Educator Registration

Additional Teacher Registration

Credit Card Information