Workshop Information:

Date: Saturday, April 24, 2010

Place: Point Park University, 3rd Floor Ballroom, Lawrence Hall
Time: 7:30A.M. to 8:00A.M. Registration 8:15A.M. to 1:30P.M. Workshops
Cost: $5.00 registration fee (payment must be received BEFORE YOU CAN BE
REGISTERED FOR EVENT and is nonrefundable) (PAYMENT DEADLINE
April 21, 2010)
For: Early Childhood Educators
Contact: Pat Scott
Email: pscott@pointpark.edu

One registration per person/ copy as many registration forms as needed/please detach form here
…………………………………………………………………………………………................................................

Project: ECHO April 24, 2010 Workshop Registration

Name____________________________________Organization_____________________________

Mailing
Address_________________________________________________________________________
street city zipcode

Phone:________________ Fax:________________ Email

Have you attended past workshops at Point Park University? Yes / No

(DEADLINE TO REGISTER April 21, 2010)
You must complete this form to register: (2 ways to register)
(1) Mail this registration form and payment to Education Department, attention Dr. Vincenne Revilla-
Beltran, Project Director, Project: ECHO, Point Park University, 201 Wood Street, Pittsburgh, Pa 15222
(2) Register online PA Keys website. http://www.pakeys.org/
Payment must be money orders or checks ONLY (payable to Point Park University Project ECHO)
ALL PAYMENTS MUST BE SENT TO:
Dr. Vincenne Revilla-Beltran, Project Director, Education Department, Project: ECHO, Point Park
University, 201 Wood Street, Pittsburgh, Pa 15222

THERE WILL BE NO PHONE REGISTRATIONS OR WALK-INS DUE TO LIMITED SPACE