Please print out this form, fill-in all necessary information and fax or mail it to CRE at the address below.
You'll need separate copies of the form for each person registering, and for each Institute session.

Partnership for Conflict Resolution Education Registration Form

(one person per form)

First Name ____________________________ Last Name ___________________________________

School Name _________________________________________________________________________

School Street Address _______________________________________________________________

City ________________________________________ State_________ Zip_____________________

Phone___________________ Fax___________________ E-mail_______________________________

School District Name ________________________________________________________________

Home Street Address _________________________________________________________________

City ________________________________________ State_________ Zip_____________________

Home Phone_______________________

Please check the Institute(s) you plan to attend. Registration Fee is $95 per Institute.