First Name:	Middle Initial:
Last Name:
Prefix/Title:	Dr. Mr. Ms.
Position:
District:
School:
Address:
City:
Zip Code:
A/C Phone:
Cell Phone:
Fax Number:
E-mail:	*Required

Please register me for the following session:
	September 23 - Newport PD Center October 26 - Bowling Green, Holiday Inn University Plaza October 27 - Lexington, Holiday Inn North November 4 - KY Dam Village State Resort Park
Payment Options:
Purchase Order #
Check (Note: I've printed this form and mailed it with my check to 154 Consumer Lane, Frankfort, KY 40601)
All sessions have been approved for 6 hours EILA credit. Cancellation Policy: Written cancellation will be accepted until 48 hours prior to the date of the session. KASA reserves the right to cancel any workshop that does not have adequate participation.

Return to Top

Wayne Young, Executive Director, General Counsel
Rhonda Caldwell, Deputy Director
Clyde Caudill, Legislative Liaison
Wanda Darland, Web, Publications, & Affiliate Services Coordinator
Shirley LaFavers, Director of Professional Development

152 Consumer Lane
Frankfort, KY 40601
(800) 928-KASA or
(502) 875-3411

Fax (502) 875-4634

Effective Classroom Practices = Student Success

Effective Classroom Practices =
Student Success