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Cost: 

$800    KASA member

$1000  Non KASA member

$500    KILTN members

Groups of 5 or more from the same district may register for $800 each.  This does not include KILTN participants.

For more information

e-mail anne@kasa.org or call (800) 928-5272

 


   
 

Kentucky Leadership Academy Registration 2009-10

  
 
First Name: Middle Initial:
Last Name:
Prefix/Title: Dr. Mr. Ms.
District:
Position:
School:
Address:
City:
Zip:
Office Phone:
Office Fax:
E-mail: * Required
Home Address:
Home City:
Home Zip:
Home Phone:
Mobile Phone:
Previous Cadre:
Which cadre would you like to be in this year?
2009-10 Options:
$800 KASA members   $1000 Non KASA member    $500 KILTN members
KASA member          Non KASA member   KILTN member
Payment Options:
Check (Note: I have printed this form and mailed with my check to 154 Consumer Lane, Frankfort, KY  40601)
Purchase Order #

Invoice District after July 1, 2009   **Invoicing Notes:

 

  
 
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Wayne Young, Executive Director
Rhonda Caldwell, Deputy Director
Shirley LaFavers, Director of Professional Development
Wanda Darland, Communications Specialist

Kentucky Department of Education logo

 Kentucky - Unbridled Spirit AASA logo
 

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

Fax (502) 875-4634