Charter School Finance Doing it Right r e g i s t r a t i o n f o r m Monday, September 21, 2015 Registration: 8:30 a.m. • Workshop: 9 a.m. to 4 p.m. Santa Clara County Office of Education 1290 Ridder Park Drive, San Jose, CA 95131 Educational Agency (Charter School, District, County Office): _______________________________________________ Contact Name:____________________________________________________________________________ Address:________________________________________________________________________________ City/State/Zip:____________________________________________________________________________ Phone Number: (_____)_____________________________________ Email:____________________________________________________ Registration Fee: $100.00 (Includes electronic version of workshop materials) Attendees (please print) Workshop materials will be emailed to attendees at least three days before the workshop. Name:_____________________________________ Email: ______________________________________ Name: _____________________________________ Email: ______________________________________ Name: _____________________________________ Email: ______________________________________ Name: _____________________________________ Email: ______________________________________ Fees are nonrefundable. Substitutions are allowed at no charge. Cancellations/Changes and Refunds: Workshop fees cannot be refunded. If you are unable to attend the workshop after registering and paying the fee, please send an alternate in your place. In case of substitution, please contact us (charterworkshop@fcmat.org) to update the registrant’s name and email address.. Make checks payable to: Kern County Superintendent of Schools – Administrative Agent. (Purchase orders are not accepted. Payment in advance is required.) Send payment and registration form to: Fiscal Crisis and Management Assistance Team (FCMAT) 1300 17th Street, Bakersfield, CA 93301. A confirmation email will be sent to each attendee upon receipt of registration form and payment.