PHASE IV
INSTRUCTIONAL LEADERSHIP TRAINING
DR. ED PORTHAN
September 20, 2011 – 8:30 AM

Pierre School Administration Building – 211 S. Poplar

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Registration Form

PARTICIPANTS

SCHOOL DISTRICT___________________________________________________________

1. Name_____________________________ E-mail Address____________________________________

2. Name_____________________________ E-mail Address____________________________________

3. Name_____________________________ E-mail Address____________________________________

4. Name_____________________________ E-mail Address____________________________________

5. Name_____________________________ E-mail Address____________________________________

6. Name_____________________________ E-mail Address____________________________________

Registration Fee is $125.00 per person for SASD Members

$125.00 x _____ (#of participants) = $__________

please include payment with your registration.

SEND CHECK TO:

SASD

PO BOX 1141

Pierre SD 57501