Teachers Conference Mar 2021

Our website has further details about the conference.

Name *

First Name Last Name

E-mail *

Confirmation Email

Phone (primary)

Phone (other)

What is your affiliation with Waldorf Education? *

Teacher Administrator Pedagogical Chair Faculty Chair Board member

How many years have you been teaching? *

Name of your school *

Suggestions are listed but you can type any school and location

Have you completed a Waldorf Teacher Training Program? *

Yes In process No

Which institution? *

If you graduated from the Waldorf Institute of Detroit, please enter SUNBRIDGE.

Program *

Suggestions are listed but you can type any program name

Graduation year *

Please list any other anti-racism workshop(s) you have attended *

What do you hope to gain from this event? *

How did you hear about this event? *

If your school is sending more than one registrant, please take advantage of our volume discount by using discount code VOLUME. Qualification for coupon use will be verified before the event begins.

Please Note: Because you are a Sunbridge program graduate, you are entitled to a 10% alumni discount (cannot be combined with other discounts). Please claim this by entering TENOFF in the discount code field below, if you are paying by credit card.

Please Note: If you are currently a Sunbridge program student (not a past student), you are entitled to attend this workshop for free. Please claim this by entering CURRENT in the discount code field below. Qualification for coupon use will be verified before the event begins.

Payment Options: *

Credit Card: I acknowledge a 3% credit card surcharge to help Sunbridge cover the cost of processing fees Check: I would like to pay by check OR my school will pay by check

Our pay-by-check option is available only to registrants who can send their check early enough so that it arrives at our office no later than the Tuesday prior to the event. If this does not apply to you, PLEASE CHOOSE THE CREDIT CARD OPTION.

Entrance to event *

MAR 19-20: "Calling It Like It Is" Teachers Conference, $150, 4.5 hours of Zoom content

Total amount to pay by check in dollars

Please mail your check for the above amount today to: Sunbridge Institute, Finance Office, 285 Hungry Hollow Road, Chestnut Ridge, NY 10977. Write "March DEI Conference" on your check. Submit this form so that we are notified of your intention to register. A space will be held only when payment has been received. You are entitled to whichever discount, if any, that you qualify for (only one discount per person), which can be included with your payment.

Entrance to event *

MAR 19-20: "Calling It Like It Is" Teachers Conference $ 150.00

4.5 hours of Zoom content

Enter coupon

Subtotal $ 0.00 Tax $ 0.00 Total $ 0.00

Credit Card
First Name on card	Last Name on card
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Is the billing address above the same as your home address? *

Yes No

Please provide your home address below:

Home address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Payer email *

Disability?

Check here if you have a disability that may require accomodation

Please provide details about the accomodation that will be necessary for your attendance. *

CTLE Professional Development Credits

Please provide me with the paperwork for CTLE Professional Development Credits (note: you must also request a Certificate below)

Certificate

Please send me a Certificate of Completion after the conference has taken place (minimum 85% attendance is required to qualify)

Photo Release *

I give permission for any photograph or video I may appear in while participating in this Sunbridge Institute event to be used for the purpose of Sunbridge publicity. Permission also extends to AWSNA's and/or WECAN’s occasional requests to use our photographs. [In the event you choose not to give this permission, an identifying photograph of you must be provided for identification purposes. Contact igreenstein@sunbridge.edu for further information.]

Cancellation policy *

By checking this box, I understand that Sunbridge Institute reserves the right to make faculty substitutions when necessary. Sunbridge also reserves the right to cancel this offering up to 24 hours before the scheduled start time. If Sunbridge cancels, all registrants will be notified and will receive a full refund. If the registrant cancels, he or she will receive a full refund less any non-refundable registration fee, provided that cancellation is made at least 24 hours before instruction begins. No refunds will be given for cancellations made less than 24 hours before this event begins, or for "no-shows."

Medical Insurance policy *

Sunbridge’s institutional insurance covers student injuries caused by accidents that occur on campus, but not student illnesses or off campus injuries. Please note that Sunbridge's insurance coverage is secondary to the student's primary insurance. If you do not have health insurance or your health insurance does not cover you in New York, we strongly recommend that you purchase traveler's insurance that will protect you, especially for illness and/or any off campus accidents.

Leave a message, if desired

In all of its dealings, including its admissions, educational, and employment practices, it is the policy of Sunbridge Institute, its Trustees, officers, employees and other duly authorized agents not to discriminate against any individual or group for reasons of race, color, creed, gender, age, culture, ethnicity, national origin, marital status, sexual orientation or identification, or mental or physical disability.

For more details about this conference, please contact the Admissions Office at 845-425-0055 X20 or by email at info@sunbridge.edu.

For technical difficulties: Most difficulties can be resolved by trying a different device or browser, or checking validity of credit card. If this does not help, feel free to contact the registrar, and we appreciate your patience, as our business hours are part time.

Please verify that you are human *

Conference Registration

"Calling It Like It Is" Teachers Conference

Participant Contact Information

Please tell us a bit about yourself:

Payment Information