WLRN Ready To Learn . Workshop Request Form

Ready to Learn KIDS

Contact the WLRN Ready To Learn Coordinator at:
305-995-2195 or dperry@wlrn.org

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Workshop Request Form

Please check the workshop(s) desired:
(A minimum of 12 persons is required to host a workshop at your site)

(1) Basic Ready To Learn

(2) Literacy Development Through Media

(3) Program-Related Ready To Learn

Program Selected:

(4) Theme-Based

Theme Selected:

Workshop is for:

Teachers

Chidcare Providers

Parents

Please check desired length of Workshops:

1-Hour

2-Hours

School/Organization:

Address:

City: State: Zip:

Phone: Fax:

Email:

Contact Person:

Title:

Best Time to Call:

Has your school/organization ever attended or hosted a Ready To Learn workshop ?

Yes Location
No

Please provide your desired workshop date.
List more than one in case the first is not available.

1. Date: Time: AM PM

2. Date: Time: AM PM