Write Idea: A Dysgraphia and Written Expression Intervention (Application)

First name

Last name

Phone

Title/Position

District

School Name/Organization and Address

Accounts Payable Name, Email Address, and Phone Number

Please select the desired date for the training.

Monday, July 6th

Friday, July 17th

Saturday, August 15th

Must have proof of having completed Take Flight or Bridges.

Please upload Take Flight or Bridges Course Completion Certificate here.

How are you paying? (Select one)

Debit/Credit Card (due upon completion of form/includes a 3% processing fee)

Check

Purchase Order

ACH

80% refund will be given for any cancellations before registration is over. No exceptions. 25% fee for insufficient funds.

If not paying by debit/credit card, close the payment page and email me with payment details.

Training Cost (Payment due upon form submission unless being made via ACH or Check)

$164.80