NCFL Summer Literacy Institute Registration Form

Louisville, Kentucky, at theGalt House Hotel and Suites
June 25–26, 2009

Thursday, June 25, 2009 / Friday, June 26, 2009
8:30 AM – 4:30 PM
Includes Facilitated Discussion Groups / Early Registration Fee Through June 17 / Registration Fee After
June 17 / 8:30 AM – 3:30 PM / Early Registration Fee Through June 17 / Registration Fee After
June 17
Literacy Everywhere, All of the Time:
An Introduction to the National Early Literacy Panel (NELP) Report / $170 / $195 / Talk, Talk, Talk:
Oral Language/Shared Reading / $170 / $195
Parenting with a
Literacy Focus / $170 / $195 / PACT Time
Across the Ages / $170 / $195
Adult Reading:
How Research Guides Instruction / $170 / $195 / Adult Reading:
Assessment Informs Instruction / $170 / $195
Elementary Parent Workshops To Go / $170 / $195 / All Your Parents=AYP / $225 / $250
Engaging ESL Families in
Their Children’s School / $170 / $195 / Supporting ESL Parents:
Helping Their Children Succeed in School / $170 / $195

Registration includes: Materials, continental breakfast and afternoon refreshments. Early registration is recommended due to limited enrollment.

Accommodations: The Galt House Hotel and Suites, located in Louisville, Kentucky, on the Ohio River, has a limitednumber of rooms set aside at the special rate of $129/night + tax for single occupancy until May 25, 2009. Mention that you are attending the National Center for Family Literacy’s (NCFL) training to qualify for this rate. For room reservations, call 1-800-THE GALT, (502) 589-5200; Fax (502) 589-3444; or visit The Galt House address is 140 North 4th Street, Louisville, Kentucky 40202. Early reservation is strongly recommended because of limited space.

Continuing Education Units (CEUs) are available through Jefferson Community & Technical College, a fully accredited institution. If interested, please ask for the required paperwork at registration. Cost will be $10 per person per session topic. Payment is due at time of submission.

Affiliation:
Administration (Director, Coordinator, Manager, etc) / Title 1 / Elementary Education / ESL/Migrant / Even Start
Adult Education / Early Childhood Education / Library / Head Start / 21st Century / Other
Name (Dr. Mr. Mrs. Ms.)
Title
Agency or Organization
Address
City / State / Zip
E-mail address
Phone / Fax

Payment Method (All payment information must be submitted at time of registration.)

 Check Enclosed Name on check ______Check Number______

 Purchase Order (A signed purchase order form must be faxed with this registration form prior to confirmation.)

 Credit Card MC, VISA or AMEX (Please circle one)

Card #: ______Expiration Date______

Signature: ______

Please FAX this completed form to (502) 584-0172, Attn: Ann Reynolds
Questions about registration? Call Ann at 502-584-1133, x-149.
Cancellation Policy:Cancellations received at NCFL before June 11, 2009, will be assessed a $50 service charge. No refunds will be issued for cancellations received after June 11. All cancellations must be submitted in writing.
NCFL can bring these trainings and other professional development opportunities to you. E-mail for more information.

National Center for Family Literacy  325 West Main St., Suite 300  Louisville, KY 40202  Phone (502) 584-1133, Ext. 149