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Community of Practice Online registration Form

Logo: VSA (in red) over Michigan (in black)Community of Practice Workshop


Strategies for Engaging Every Student in Learning for Educators, Teaching Artists, University/ College Students and Community Arts Education Providers

August 20-22, 2016
Ralph A. MacMullan Conference Center,
Higgins Lake, Roscommon, MI

Please complete this form and email it to or snail mail it to the VSA Michigan office at 111 East Kirby, Detroit, MI 48202.  Respond as soon as possible, as the number of participants is limited.

I would like to register for the workshop.






I am an _____ Educator  _____ Teaching Artist

_____ Community Arts Education Provider

_____ University/College Student (Indicate Major) _________________________________

I am an educator and interested in obtaining SCECHs. Yes_____   No_____

_____ I would like to attend the entire workshop.

_____ I would like to attend on Sunday and Monday

_____ I would like to attend on Monday and Tuesday

I would like to room with______________________________

I have the following dietary restrictions:

I require the following accommodations (e.g. large print, Braille, American Sign Language Interpretation):

_____ My registration check is enclosed, made payable to VSA Michigan.

_____ Please charge my credit card Number_________________________________ Exp. Date___________ Security Code__________ Billing Zip code___________________

Name as it appears on card


_____ I would like to be considered for a scholarship to attend this workshop.  Please contact me by
_____ phone or  _____ email to discuss this opportunity.

This program is provided under contact with the John F. Kennedy Center for the Performing ARts (2016)

We look forward to seeing you!!