Professional Development Program Registration

H/Professional Development Program Registration

Which sessions would you like to register for?*
- STEAM Professional Development – Jan. 20
- Science & Engineering Practices (Inquiry Institute) – June 15-19
Name*
First Last
Phone*
Email*
School District*
School*
Grade Level*
Teaching Subjects*
PA Professional Personal ID # (for Act 48 credit)*
Lunch is provided. Do you have any dietary restrictions?
Photo Release
- I agree
I HEREBY GRANT The Da Vinci Discovery Center of Science and Technology, Inc., also known as the Da Vinci Science Center, permission to use photographs, video, or audio taken of the guest(s) listed above in promotional, printed, video, or web-based materials or to provide these materials to news media professionals at the discretion of the Da Vinci Science Center.
Are you a member of our free Teacher Rewards Program?*
- Yes
- No
If not, would you like more information about our Teacher Rewards Program?*
- Yes
- No
Other accommodations
Billing*
How would you like to pay?
School Name*
Attention to:
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email