REGISTRATION FORM
Northshore Technical Community College, Florida Parishes Campus &
The Elite Program, Inc. 
5580 Versailles Road Suite 101
Lexington, KY 40510
859-321-4377

L Check box to register for March 20-21 Teacher/Volunteer/Staff workshop


Please sign me up for Teacher/Volunteer/Staff Workshop on March 20-21.


NAME    ADDRESS:

CITY:     STATE:   ZIP:

PHONE:     CELL PHONE:

EMAIL:


Are you currently teaching about horses?   If YES, what kind of teaching?

Do you volunteer with a non profit equine organization?   If YES, which best describes your organization?

When you are done press the Submit button below.  You will be sent an email confirmation of your registration. About one week before this class you will be sent specific information regarding special notices regarding class location, parking, etc.