Simplicity Learning Registration

Contact Information

Title: 

First Name*: 

Middle Name: 

Last Name*: 

Suffix: 

Address*: 

City*: 

Zip*: 

Best Phone*: 

Email*: 

I am registering for STARS credit.

Stars ID: 

Job Title: 

Employer Name: 

Employer Email: 

I will be attending with a co-parent.

Number of weeks:  

Number of children attending: 

Please accommodate these dietary restrictions or other accommodations:

Your cost: $

Terms

I understand that Simplicity Learning is a nonprofit corporation and conducts its programs without discrimination on the basis of race, color, national or ethnic origin, class, gender, sexual orientation, or family structure. For the purpose of tracking racial statistics, I self-describe my own ethnicity as follows:

How did you learn about Simplicity Learning/this event?*


Please note that your space is not guaranteed until payment has been received.

 

Simplicity Learning
2320 – 130th Avenue NE
Suite 140
Bellevue, WA 98005

info@simplicitylearning.org
425.614.0145

Simplicity Learning does not discriminate on the basis of race, color, national or ethnic origin, immigration status, class, gender identity or expression, sexual orientation, family structure, marital status, religion, creed, or the presence of any disability that we can reasonably accommodate in the delivery of our services.

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Simplicity Learning is a trade name of Simplicity Educational Services, a Washington State Nonprofit corporation and 501(c)(3) public charity. DONATE

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