21st Century Transformers

Cost (non KLA/KILTN)
$175
$150 (group of 3 or more; names must be sent together)

Optional sessions
$25 - Breakfast June 21
$35 - Lunch June 22
$45 - Dinner & presentations, June 21

Location:
Galt House Hotel
Archibald Cochran Ballroom (RIVUE West Tower)

Galt House Hotel & Suites
140 North 4th Street
Louisville, KY 40202

Reservations:
800-THE-GALT

Call before May 20 for the KASA/KLA rate of:

$105 single RIVUE tower
$115 double RIVUE tower

$115 single SUITE tower
$125 double SUITE tower

21st Century Transformers:
Teachers and Leaders Improving Instructional Practice
June 21-22, 2010 * Galt House Hotel & Suites

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

Please register me for the following:
	KLA/KLAA/KILTN member - free
	Non KLA/KLAA/KILTN member - $175
	Registering a group of 3 or more (names must be sent together) - $150

	Optional Sessions:
	Breakfast, June 21 - $25
	Lunch, June 21 - $35
	Dinner & Presentations, June 21 - $45
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 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.

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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

21st Century Transformers: Teachers and Leaders Improving Instructional Practice June 21-22, 2010 * Galt House Hotel & Suites

21st Century Transformers:
Teachers and Leaders Improving Instructional Practice
June 21-22, 2010 * Galt House Hotel & Suites