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Graduate Seminar Registration – Traveling Workshop

Graduate Registration - Traveling Workshop

"*" indicates required fields

1Participant
2Medical
3Accommodations
4Travel
5Agreements
6Payment

Opportunity ID is required. Please check the referring link.
If you need assistance, please contact us.

Enrollment Details

This completed registration form and deposit must be submitted by the due date on your acceptance notice. If the form & deposit are not received by the specified due date, the scholarship offer and place in class will be rescinded.

A completed registration and $150 refundable deposit are required before you will be enrolled in the workshop.

Name*
Do you teach at a Title I School?*
Have you previously participated in Medal of Honor Character Development Training?*
Are you retired?*

Participant Medical Information

Gender*

Off-Site Accommodations - Traveling Workshop Only

Private rooms at off-site hotels are available at a single supplement fee of $450.00 for the week. This request must be made and paid a minimum of 60 days prior to the start of the program. Once paid, the fee is non-refundable. Single rooms are not available without payment.

On-Site Accommodations

If you need special accommodations for on-campus housing at Freedoms Foundation, such as a first-floor room, please note here.
First floor or roommate requests only
Will you need transportation from the Philadelphia Airport to & from our Valley Forge campus?*

Arrival

MM slash DD slash YYYY
Time
:

Departure

MM slash DD slash YYYY
Time
:

Agreements

Terms and Conditions*
I have read & understand the FAQ info sheet and agree to the terms.

I have read & understand the airport arrival and departure information and agree to the terms.

I have read & understand the deposit and refund information and agree to the terms.

I have read & understand the Conduct Code.
Payment Method

Send Check or Money Order to:
Freedoms Foundation at Valley Forge
Attn: Education Dept.-History Encounters
PO Box 67
Valley Forge, PA 19481

A check/money order must be received within 7 days to successfully complete your registration.

Payer Information

Name*
Billing Address*
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date
 
This field is for validation purposes and should be left unchanged.
Freedoms Foundation of Valley Forge
  • P.O. Box 67
    Valley Forge, PA 19481
  • 1601 Valley Forge Road
    Phoenixville, PA 19460
  • 610.933.8825
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