registration form - Fiscal Crisis & Management Assistance Team

W O R K S H O P
Local
Control
R E G I S T R A T I O N
F O R M
Funding Formula (LCFF) &
Accountability Plan (LCAP)
Tuesday, September 29, 2015
Registration: 8:30 a.m. • Workshop: 9 a.m. to 12:30 p.m.
Santa Clara County Office of Education
1290 Ridder Park Drive, MC251, 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 (registration@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.