Summer Seminar Registration

Download the PDF version here: Summer Seminar Registration

Summer Seminar Registration

25th Annual Summer Seminar for K-12 Educators, Librarians and Lifelong Learners

Relevant Lessons of the Holocaust and Human Rights

July 6 – 10, 2015

To register, please complete this form and mail with payment to:

HHRC

Michael Klahr Center, UMA

46 University Drive

Augusta ME 04330

 Please note, the Registration deadline is July 3rd, 2015

Name: _____________________________________________________________

Home Address (for summer mailings): _____________________________________

__________________________________________________________________

School: ____________________________________________________________

School Address: _____________________________________________________

__________________________________________________________________

Telephone: (W) _______________________ (H) __________________________

Email (summer access needed): ___________________________________________

Grade(s) and subject(s): ______________________________________________

Seminar cost $125 due with registration, includes light snacks, lunch, and two dinners.  There are a limited number of stipends available for those traveling 80 miles or further from Augusta. Please select a payment option:

o Check enclosed, made out to “HHRC”

o Purchase Order #:                                                     

o I will call with my credit card number

o Charge my card: #                                                     Exp. Date             CVV Code:        

Special Needs/ Requests/Food Allergies:

 

 

 

 

Email your completed form to us here: infohhrc@maine.edu