Registration

* Indicates required field

Participants Name *

First

Last

Email *

Title *

Grade Level *

School *

Select Dates *

District *

PO# or Payment Contact Name *

Have you attended a six day OCDE Project GLAD Training? *

Yes No

IMPORTANT INFORMATION

Payment by check or requisition # must accompany registration to confirm attendance.
Refunds will only be given with a 5-day notice.
Online resource guide and login information will be provided prior to training
Please make checks or PO’s payable to:
- Jocelyn Mitchelmore
- 1314 Cromwell Court, El Dorado Hills, CA 95762
- jmitchelmore@comcast.net
- (916) 230-6980

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