First Day to Test Day

First Day to Test Day

A Road Map to Accelerate Student Learning & Prepare for Standardized Tests

July 28, 2022 | $169 Per Person | Groups of 10 or more contact us for special pricing.

How many people would you like to register?*

How many people would you like to register? - Copy*

Attendee Information

Name*

First Name

Last Name

Email address*

Select title*

Building assignment (School building name)*

Attendee Information #2

Name*

First Name

Last Name

Email address*

Select title*

Building assignment (School building name)*

Attendee Information #3

Name*

First Name

Last Name

Email address*

Select title*

Building assignment (School building name)*

Attendee Information #4

Name*

First Name

Last Name

Email address*

Select title*

Building assignment (School building name)*

Attendee Information #5

Name*

First Name

Last Name

Email address*

Select title*

Building assignment (School building name)*

Attendee Information #6

Name*

First Name

Last Name

Email address*

Select title*

Building assignment (School building name)*

Attendee Information #7

Name*

First Name

Last Name

Email address*

Select title*

Building assignment (School building name)*

Attendee Information #8

Name*

First Name

Last Name

Email address*

Select title*

Building assignment (School building name)*

Attendee Information #9

Name*

First Name

Last Name

Email address*

Select title*

Building assignment (School building name)*

School Information

School / District*

School Address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

School Phone*

Principal's Name*

Billing Information

Who will pay for your workshop registration?*

Me My school or district

Bill-to Name*

First Name

Last Name

Bill-to Email Address*

How would you like to pay for this workshop?*

With a credit card With a purchase order

Total cost $

Purchase Orders are welcome!

Please make purchase orders payable to:
Smekens Education

Mail checks to:
Smekens Education
P.O. Box 332
Warren, IN 46792

Fax Purchase orders to:

1-888-376-0489

*Your registration will be on hold for 5 days while we wait for the check to arrive. This registration is subject to cancellation if a purchase order has not been received within 5 days.

Purchase Order Number

Credit Card