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Leadership Academy Registration Form

Registration Fee (COST PER PERSON, PER DATE) $150 PER PERSON, PER DATE
Teams of 4 - $500, PER DATE
Teams of 3 - $400, PER DATE
Teams of 5 - $650, PER DATE

REGISTRATION BEGINS AT 8:00AM WITH COFFEE AND CONTINENTAL BREAKFAST. THE PROGRAM WILL BEGIN AT APPROXIMATELY 8:30AM AND WILL RUN UNTIL 1:00PM WITH A WORKING LUNCH SERVED.

Contact Name________________________________________ School District___________________

EMAIL ADDRESS_______________________________________________________

TEL#_________________________________FAX#_____________________________

School District teams are encouraged and have proven over our twelve years to be a success

Team Member_________________________Team Member___________________________

Team Member_________________________Team Member___________________________

Team Member_________________________Team Member___________________________

PO Number___________ Check Enclosed__________ or P.D.Credit Acct._________

Cancellations must be made one week in advance by contacting M.A.S.S. OR THE REGISTRATION FEE will be charged.

ACADEMIES SELECTED LOCATION DATE __________________________ _____________________________ _______

__________________________ _____________________________ _______

__________________________ _____________________________ _______

__________________________ _____________________________ _______

_______________________________ ___________________________________ ________

Please fax this registration form to M.A.S.S. 781-541-5534



General Conference Info
About MASS Conferences

Leadership Academies
Boston College Doctor of Education
2009-2010 Leadership Academies

M.A.S.S Conferences
Spring Meeting 2010 Agenda
M.A.S.S./MassCUE TECHNOLOGY CONFERENCE 2009

Conference Registration
Leadership Academy Registration Form
Spring Meeting 2010 Registration Form

Executive Institute
2010 - Charting a Course for 21st Century Skills
Executive Institute Registration Form 2010
Retired Superintendents' EI Registration Form 2010
Dr. Douglas Reeves Day
Dr. Todd Whitaker Day