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Register For a Discipline With Purpose Workshop

Contact the DWP office to learn of workshops currently scheduled.

 I would like to register for the _____________________workshop.

Name: ____________________________________________________

Address: _______________________City: ____________St. ________

Zip: ________________________  Phone (          )________________

School: ______________________ Position  _____________________

Email: ____________________________________________________

As part of the workshop fee I would like to receive lesson plans for: (circle one)

* Pre-school + Kinder * Gd 1 * Gd 2 * Gd 3 * Gd. 4
* Gd 5 * Gd 6 * Gd 7 * Gd 8
* Specialist I Teach _____ * Admin. * DWP Committee Booklet * P.E.
* Anti-Bullying Curriculum * Parent * Marching Into Music * CD of Illustrated skills
  * DWP Grad
(Will bring binder)
* Study Skills  

Specialist/other____________________________________________

Check enclosed for
____ $235 for one person
____ $220 for two or more "from the same school"
____ $180 if no lesson plans ordered
____ $65 for DWP Grads
____
$100 for Grads attending who need new materials.
____ Send directions
____ Hotel suggestions
____ Info about graduate credit

Credit cards for this workshop are accepted.

Item 1000-225
Workshop fee for one person. $235.00

Item 1000-195
Workshop fee for two or more. $220.00

Item 1000-160
Workshop fee if lesson plans have been purchased previously. $180.00

Item 1000-155
$65 for Graduate Day or a DWP Graduate attending the workshop for a second time

Item 1000-95
$100 for Graduate attending either the Graduate Day or Workshop and would like
to receive new lesson plans or materials.

Mail completed form at least 3 weeks prior to the scheduled workshop to:

Discipline With Purpose
3406 Hurstbourne Ridge Blvd. * Louisville, KY 40299 * 502-785-4485 * dwpbcv@gmail.com


© Discipline with Purpose • 3406 Hurstbourne Ridge Blvd. * Louisville, KY 40299 * 502-785-4485 * dwpbcv@gmail.com