Educational Partnership Registration

Cost: Each additional Educator is $50 per session.

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Parent Name

Student Name

Grade

School

School District

Administrator's Name

Administrator's Email

Please list additional Teachers Names AND Emails:

On which days will the additional educator be attending Educational Partnerships?

Cardholder Name

Credit Card #

Expiration Date

Security Code

Billing Zip Code

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

Additional Educator Registration + Payment