Workshop Registration – Individual

Individual Registration Form - ADMTEI Workshop

This form is for individual registration. If you are a school administrator registering employees, please use a different form.

Attendee's Name *

First

Last

Attendee's Email *

Confirmation will be sent to this address.

Attendee's Phone *

(in case of emergency)

School/Organization Name

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Photo/video release: When you enter an Adrian Dominican Montessori Teacher Education Institute (ADMTEI) event or program, you enter an area where photography, audio, and video recording may occur. By entering the event premises, you consent to photography, audio recording, video recording and its/their release, publication, exhibition, or reproduction to be used for news, web casts, promotional purposes, telecasts, advertising, inclusion on websites, social media, or any other purpose by ADMTEI and its affiliates and representatives. Images, photos and/or videos may be used to promote similar ADMTEI events in the future, highlight the event, and exhibit the capabilities of ADMTEI. You release ADMTEI, its officers and employees, and each and all persons involved from any liability connected with the taking, recording, digitizing, or publication and use of photographs, computer images, video and/or or sound recordings. By entering the event premises, you waive all rights you may have to any claims for payment or royalties in connection with any use, exhibition, streaming, web casting, televising, or other publication of these materials, regardless of the purpose or sponsoring of such use, exhibiting, broadcasting, web casting, or other publication irrespective of whether a fee for admission or sponsorship is charged. You also waive any right to inspect or approve any photo, video, or audio recording taken by ADMTEI or the person or entity designated to do so by ADMTEI. You have been fully informed of your consent, waiver of liability, and release before entering the event. *

I acknowledge my understanding of and consent to these terms prior to the event.

Name