2016 Dynamic Assessment Registration

Instructions
Registrations will not be processed and seats are not held until payment has been received by SCEL.
ALL INFORMATION IS REQUIRED**
Personal Contact Information
**Name
**Street Address
 
**City
**State
**Zip Code
 
**Phone
**Summer Phone
**E-mail
 
Job Title
School district, agency or other affiliation and location (if applicable)
 
Select Course Title Dates COST AMOUNT DUE
Dynamic Assessment of Young Children May 23 - 26 2016 $995

Training Fees can be paid by check or credit card (MasterCard or Visa).
Payments must be made in full prior to the training.

Payment Type
Mail checks to:
SCEL
10600 Kingsmark Trail 
Alpharetta, GA 30022
Phone or fax credit card information to:
(770) 855-5618 (phone)
(678) 890-4001 (fax)

Cancellation: SCEL reserves the right to cancel any workshop that has fewer than ten registered. Full refunds will be given for cancelled classes. Individuals who wish to withdraw their registration must give 6 weeks prior notice to receive a refund. Refunds will be given minus a withdrawal fee of $100. No refunds will be given after May 1, 2016.