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Summer Institute July 2010
Related Documents
VIAAA LTP Summer Institute
Registration Form
Date of Institute Wednesday, July 27, 2010
Site of Institute English Inn 2000 Morton Drive, Charlottesville, Virginia 22903
Registration deadline is - July 9, 2010. Late registrations will be accepted but there will be an additional fee. Manuals and certificates will be shipped after the course for all late registrations. The late fee is for shipping or mailing.
Name __________________________________________ School ______________________________________
Home Address___________________________________ School Address _______________________________
City/County _____________________________________ City/County __________________________________
State _____________ Zip ___________ Home Phone _________________ Work Phone ____________________
Email address ______________________________________ or _________________________________________
Certification (Circle) RAA CAA CMAA
Please place an X on the line in front of the course you wish to take.
July 27, 2010
8:00am
____LTC 504 - Legal Issues I
____LTC 506 - Legal Issues II
____LTC TBD
____LTC TBD
1:00pm
____LTC 508 - Legal Issues III
____LTC 613 - Technology II
____LTC 615 - Athletic Field Management
____LTC TBD
Cost of Course(s): All checks are to be made payable to the VIAAA
1 class - $100.00
2 classes - $190.00
w/ New AD's WS - TBD
Late Registration Fee of $10.00 for one course and $20.00 total for more than one course.
Registration forms should be mailed to: Kevin G. Adams, CAA
8211 Post Land Court
Chesterfield, VA 23832
You will be emailed a confirmation of registration upon receipt of your registration form and check.
For information, call Kevin G. Adams at 804-640-3242(Cell) or email him at kgadams1@henrico.k12.va.us.
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