REGISTRATION FORM

Civil Rights Teachers Workshop, April 11-12, 2003
"Committed to Excellence in Teacher Professional Development"
The Eisenhower Library, Abilene, Kansas
Registration Deadline: April 4

Name: _____________________________________________
Address: _____________________________________________
_____________________________________________
Phone: _________________________ Email: _____________________________

School: _____________________________________________
Address: _____________________________________________
_____________________________________________

Teaching Level(s)__________Subject(s) Taught_________________________________

_____ I plan to tour the new Presidential Gallery of the Eisenhower Museum on Friday
morning (9:00-11:00). There is no admission fee for workshop participants.

_____ I have enclosed $16.00 (includes tip) for the OPTIONAL Brookville Hotel dinner
that will precede the Brownell Lecture on Friday evening from 6:00-7:00.

_____ I will attend the Brownell Lecture at 7:15 on Friday evening.

_____ I have enclosed $6.00 for Saturday noon's boxed lunch.

_____ Total amount of check. (Make check out to The Eisenhower Foundation.)

_____ I am interested in earning the one hour graduate credit offered through this
workshop.

Please send this Registration Form, along with your check, to:
The Eisenhower Library
Civil Rights Teachers Workshop
200 Southeast Fourth Street
Abilene, KS 67410

A block of rooms has been reserved for workshop teachers at the Best Western for the nights of April 10 & 11 under the "Eisenhower Center Teachers Workshop." The rates are $30/night single occupancy and $35/night double occupancy. The Best Western has a toll free number that rings locally at 800-332-2038. The local number is 785-263-2050.

For questions or more information: 877-RING IKE or email kim.barbieri@nara.gov

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