ATLAS Communities - Pathways to Understanding

Sunday - Thursday
June 24 - 28, 2007

Champlain College
Burlington, VT

PTU Registration

1. Name

Salutation
First Name
Last Name
Title
Grade/s

2. School and Personal Contact Info

School Name
School Type
School District
School Telephone#
Home Address
City
State
Zip Code
Telephone #
Email address

3. Emergency contact. Please provide a contact name and phone number for emergency purposes.

First Name
Last Name
Phone Number

4. Housing is Double occupancy. If you have a preference, please indicate which individual(s) you would like to be paired with in a room below:

5.Are there considerations should we be aware of
(i.e. dietary restrictions, etc.)?

What to Bring?

Pens, Pencil
Casual Dress
Comfortable Shoes
Toiletries
*Personal check for
SPU graduate credit hours
Hat/Umbrella
Cell phone/Calling Card
Alarm Clock

Items Provided

Institute Materials
Housing -Sun.-Wed.
Sheets
Towels
Breakfast & Lunch
(starting with lunch on Sunday, 6/24)
Dinner on Tuesday, 6/26

Registration
The registration fee is $1,000.00 per person which includes: four nights of dorm housing Sun-Wed., towels, sheets, breakfast & lunch starting at 12 noon on June 24 ending with lunch on June 28. Registration confirmation will be sent via email. Payment is required prior to attending institute. For questions please email Linda Gerstle at: lgerstle@atlascommunities.org
or Mark Church at: mchurch@atlascommunities.org

College Credit
Three Seattle Pacific University graduate credits will be available for $129.00. Payment can ONLY be made by personal check, money order or cash. The check or money order should be made payable to: SPU during registration on June 24, 2007.
- CREDIT CARDS ARE NOT ACCEPTED -

Cancellation Policy
All cancellation must be sent via email to Linda Gerstle at lgerstle@atlascommunities.org or by calling (888)577-8585. A full refund will be given less $50 administrative fees by May 18, A half refund , less $50 administrative fees if received by June 8. NO REFUNDS will be given after June 8.