English Learner Summer Training

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

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Zip Code

Email *

Phone

School and County *

I will pay the registration cost of $300 by *

• Purchase order
• Credit Card

Stripe Credit Card

Card

Name on Card

to County and

Please read and check the boxes to submission *

• I agree to notify MSESC 24 hours prior to the training if I am unable to attend.
• I understand that failure to notify MSESC 24 hours prior to missing the training will result in being charged the full amount.

Submit