Online Registration

Please note:

*You can use PayPal to submit your payments here.

Do not submit payment until a member of our team confirms your registration via email.

1. Course name you are registering for:

Level 1 Classroom Educator Course - $ 1650 (Year 1) Level 2 Associate Course - $1500 (Year 2)

2. Payment Information (Check one)

Pay by Personal Check (please continue to #3) Pay by Credit Card (3% processing fee) (please continue to #3) Pay by Purchase Order (single registration - please continue to 2b) Pay by Purchase Order (group registration- please continue to 2b)

Note if paying via purchase order or check:
• Please input the PO number below
• Email PO’s to shorelinereading@gmail.com
• Send checks to Shoreline Reading Inc. 36 Fairy Dell Rd. Clinton CT, 06413
• Your registration is not complete until this is on file.

2b. Billing Information (If paying by PO only)

Name/Title of Director:

Billing Contact (if different from above):

Billing Email:

Billing Phone:

Purchase Order #:

3. Trainee Information
You can register up to 4 teachers. Please complete as many sections as needed and leave the others blank.

Student 1

Name

Address

Preferred Phone Number

School District

Job Title

Student 2

Name

Address

Preferred Phone Number

School District

Job Title

Student 3

Name

Address

Preferred Phone Number

School District

Job Title

Student 4

Name

Address

Preferred Phone Number

School District

Job Title

4. Practicum

Please check if you would like more information about our practicums for individuals seeking OG Certification.

Click here to learn more about the practicum options:
CE Level Practicum
Associate Level Practicum (Will require additional coursework in March)

Online Registration

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