Iti Registration Form - Ohio

2015 Inspired Teachers Institute
Creativity: A Window on Thinking
Registration Form
Name __________________________________________________________________________________________________________
Address _______________________________________________________________________________________________________
Phone (_______) _________________________ Email(print clearly) ______________________________________________
Con5irmation will be provided via email.
Position ________________________ School/Place of Employment _________________________________________
Registration
(Student, teacher, parent, administrator, etc.)
______ Registration $80.00
______ Registration for OVL membership
$72.00
ID# ___________
Study Group Name____________________________________________________
Payment
Payment may be made by P.O. or checks made payable to OVL or on our website with PayPal. No
refunds can be provided.
Total Payment _______________ P.O. # ____________________
Check# ________________
Lunch Options Vegetarian _________ Gluten-/‐Free _____________ No Preference ______________
Complete on line or mail completed registration to:
Linda Norton-/‐Smith
3261 Whitewood St.. NW
North Canton, OH 44720
Questions? Contact Linda Norton-Smith at (330) 575-7857 or via email at
lnortonsmith47@gmail.com.
Nothing without joy!
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Iti Registration Form - Ohio PDF

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