Note: Early bird: $50 (registration 7 days prior to class). $60 if registration is completed less than 6 days prior to class. Name School Phone Number Email Address Certificate Area ATF Member Yes No Pick one to attend November 6, 2017, 4;30-6:30 February 3, 2018, 8-12 I UNDERSTAND THERE IS A $10 LATE FEE FOR REGISTRATIONS RECEIVED LESS THAN 7 DAYS PRIOR TO THE EVENT. My initials indicate my understanding. I understand, as a candidate in the National Board for Professional Teaching Standards candidate program understand that my instructor, and his/her associates provide a system for support and clarification throughout the NBPTS process. I understand that the ATF Candidate Support Provider (CSP) is not liable for a pass or fail on any section of my portfolio and/ or assessment. I understand that it is my responsibility, as the candidate, to attend meetings, perform research, gather data and documents, make final choices for all items, and submit materials in a timely manner. An ATF Candidate Support Provider instructor cannot be held liable for any candidate’s success or failure. I understand that once my fee is paid there are NO refunds. I understand that participation in the support group does not guarantee successful completion of the process. My initials indicate my understanding. My first and last name below constitutes an electronic signature. Leave this field blank