Registration Form-Word - Kilgo Consulting, Inc.

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INFORMATIONAL ONLY—DO NOT FAX THIS PAGE
Kilgo Consulting, Inc.
“Treasure Hunts for Best Lessons” Workshops – Irving, Texas
February 16-17, 2016
Schedule
Location
Workshop
Cost
Parking
Meals
What to
bring
Hotels near
conference
February 16 – ELA/Reading
February 17 – Mathematics
NOAH’S EVENT VENUE OF LAS COLINAS
6101 East Campus Circle Drive
Irving, Texas 75063
Registration: 8 to 9 a.m.
Workshop: 9 a.m. to 4 p.m.
$375 per person per day, which includes a flash drive with the Kilgo Treasure Hunt
process
Provided
A continental breakfast (coffee and pastries) and lunch are included in the cost
1. Fully charged Wi-Fi-enabled computer or mobile device for accessing the Internet
2. Teacher's edition of current textbook and/or primary resource used for planning
and teaching the subject.
Holiday Inn Express Hotel & Suites DFW Airport North
4550 W John Carpenter Freeway Irving, Texas 75063
Sleeping rooms reservation number: 866.676.1291 OR 972.929.4499
Fairfield Inn & Suites by Marriott DFW Airport North
4800 John Carpenter Freeway Irving, Texas 75063
Sleeping rooms reservation number: 972.929.7257
Instructions: Ask for the state rate and provide a completed tax exempt certificate at
check in.
Substitutions Substitutions on the same day of the workshop are always allowed. Changes in the
and
day of the workshop can only be done with prior approval.
Cancellations
Cancellations MUST BE IN WRITING. Once we have received and approved your
cancellation, we will send you a cancellation number. If you do not receive this
number, you will be responsible for all registration fees indicated in your confirmation
email.
512.252.0710 – phone / 512.252.1825 – fax
Email: milkey@margaretkilgo.com
Kilgo Consulting, Inc.
P.O. Box 270124, Austin, TX 78727
“Treasure Hunts for Best Lessons” Workshops – Irving (DFW)
February 16-17, 2016
District
Phone:
School
Fax:
Address
City, St Zip
Ext
CONTACT PERSON (this person will receive all official notices regarding registration, including confirmations)
Name
School Email (a school email is required)
PARTICIPANTS (print “pick up” in the name box if purchasing additional materials)
Names (first and last)
INVOICE
Workshop
Feb 16-17
DFW/Irving
School (if different from above)
Subject
2/16 ELA/Reading
2/17 Mathematics
Treasure Hunts Workshops
 2/16 ELA/Read  2/17 Math
 2/16 ELA/Read  2/17 Math
# Attending
@
@
 2/16 ELA/Read
 2/17 Math
 2/16 ELA/Read
 2/17 Math
 2/16 ELA/Read
 2/17 Math
 2/16 ELA/Read
 2/17 Math
 2/16 ELA/Read
 2/17 Math
 2/16 ELA/Read
 2/17 Math
Registration Fees
$375
$375
Total Amount Due
Amount Due
$
$
$
METHOD OF PAYMENT
Note: Registration is not complete until you receive a confirmation email. Email milkey@margaretkilgo.com or call 512.252.0710 to
verify registration. Cancellations must be in WRITING and a cancellation code obtained.
 Purchase Order # ________________
Note: A valid purchase order is required prior to the workshop but we do allow
participants to register with a “PO pending” and “Check Request pending”
 Purchase Order pending (requires “Intent to pay” signed by
principal or authorized representative)
 Check request pending (requires “Intent to pay” signed by
principal or authorized representative)
Intent to pay is hereby approved.
 Credit Card # _______________________________________
Mailing address _____________________________________
Expiration Date: ____________________________________
Zip code ___________________________________________
For office use only: Check #
X_______________________________________________
(signature of authorized representative required on line above)
Amount:
Date Received:
WORKSHOP DETAILS
NOAH’S Event Venue, 6101 E Campus Circle Dr., Irving, TX 75063
Registration: 8 – 9 am ~ Conference: 9 am–4 pm ~ Parking & Lunch provided ~ Notify us of special seating needs.
Fax: 512.252.1825 –or— Email: milkey@margaretkilgo.com
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