Please print and fill out the registration form below in order to reserve your seat for KEDC‘s summer K-8 Math Alliance on June 22nd  through the 26th .

KEDC K-8 Math Alliance REGISTRATION
Fee for Year 3 KEDC Math Alliance - $700

 Name:_______________________________________________

 District:______________________________________________

School:_______________________________________________

Grade Level Taught or Special Education: ________  

 Total cost for school @ $700 per teacher ______________ Purchase Order #_______________

Email Address:_____________________________________________

 School Phone#______________________________________________

 Home Phone # _____________________________________________

 Cell Phone#______________________________________________

 If you do not have a PO # available you can have your principal sign here and we will bill you after July 1.

Principal Name:___________________________ Principal Signature:______________________________________

Copy and Email this registration back to terri.white@kedc.org

Or you may print and fax it to 606-929-2120 or mail to KEDC Math Alliance, 904 Rose Road, Ashland, KY 41102