NIE Teacher Workshop Registration

Please fill out the form below to register for the NIE Teacher Workshop. The cost of attending the workshop is $35 each or $25 for an additional buddy. All New-to-NIE Teachers are only $15.00.

Your registration is not confirmed until payment has been received. If you would like to pay by Credit Card, please contact Karen Phillips at (928) 539-6806

If you would like to pay by check or money order, please drop off/mail your payment to:
The Sun
2055 S. Arizona Avenue
Yuma, AZ 85364

Contact Name:
Address:
City and Zip:
Phone:
School Name:
Grade:	None Selected Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th College Level
Subject(s) Taught:
Special Interest Area:
Work Email Address:
Home Email Address:
If you are bringing a Buddy for $25.00, please fill out all Buddy information below.
Buddy Name:
Address:
City and Zip:
Phone:
School Name:
Grade:	None Selected Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th College Level
Subject(s) Taught:
Special Interest Area:
Work Email Address:
Home Email Address:
If you are a new NIE Teacher ($15.00), please fill out this form.
New NIE Teacher:
Address:
City and Zip:
Phone:
School Name:
Grade:	None Selected Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th College Level
Subject(s) Taught:
Special Interest Area:
Work Email Address:
Home Email Address:
Please enter code to complete
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