BJE Bebe Feuerstein Simon Early Childhood Institute 2023 Registration

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"Putting the Pieces Back Together" - March 13, 2023

School Contact Information

School:

If your school is not on the drop down list, please write it here:

Main Contact First Name

Main Contact Last Name

Main Contact Phone Number:

Main Contact Email Address:

Mailing Address

City

State

Zip

Please include information for EACH participant attending from your school. If you are registering as an individual educator, you only need to fill in the information for yourself.

Participant Information

First Name:

Last Name:

Email Address:

Each participant will be assigned to two workshops. Workshops will be assigned on a first-come, first-serve basis and cannot be guaranteed. Please mark a different workshop for your 1st, 2nd, 3rd, and 4th choice.

What is your First Choice of workshop?

What is your Second Choice of workshop?

What is your Third Choice of workshop?

What is your Fourth Choice of workshop?

For the afternoon school tours, what is your First Choice for school tour?

For the afternoon school tours, what is your Second Choice for school tour?

Total numbers of attendees:

Please go to the next page to calculate fees.

Page 2- Payment Information and Worksheet

The fee structure is as follows:

BJE-AFFILIATED SCHOOLS

Early Bird Registration (before February 13) from 1 to 10 participants $60/each

from 11 to 20 participants $55/each

from 21 to 30 participants $50/each

30 or more participants $45/each

Walk-In Registration (after February 13) from 1 to 10 participants $75/each

from 11 to 20 participants $70/each

from 21 to 30 participants $65/each

NON-AFFILIATED (WITH BJE) SCHOOLS

Early Bird Registration (before February 13) any # of participants $90/each

Walk-In Registration (after February 13) any # of participants $130/each

Workshops and school tour sites will be assigned on a first come, first served basis and must be designated on the registration form. Anyone registering after February 13, 2023 will be considered a walk-in registration and will be assigned their workshops and school tour site based on availability.

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BREAKFAST AND LUNCH

Registration fees include a full breakfast buffet and dairy lunch (dietary laws observed). This year's full breakfast is made possible thanks to a generous donation by Sanford and David Weiner in memory of their beloved wife and mother, Karen Weiner.

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REFUND POLICY

Refund requests must be made in writing directly to Carly Rosenstein at crosenstein@bjela.org and will be issued in the form of a check from BJE. A 50% refund can be granted until February 13, 2023. NO refunds will be allowed after February 13, 2023. You may, however, send a substitute participant.

Payment Worksheet

Please select the type of registration you are paying for

How many participants are you registering?

Total payment for registrations $

Please pay the amount above via PayPal using the button provided below.

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Contact Information