Michigan Center for Civic Education · Cultivating Civic Champions - Educating for the Practice of Democracy Summit

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Registration Information

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Number of Total Students

How many student ($30/each) attendees are you registering?

Alumni Network.

Are you an alumnus of any MCCE program? (If you are, please check all the apply!)

Mock Trial

We the People

Project Citizen

Civitas (Teacher Exchange Program)

None. Unfortunately I didn't have a cool teacher who did these programs

Program Not Listed

Additional Registrant Names

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No T-Shirt Please

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Accessibility and Equity

Accessibility & Equity

Please list any accessibility needs, accommodations, technology, and/or other considerations which may help you and/or your students' accessibility. Please indicate any ASL needs at least two weeks prior to the event.

Additional Conference Activities and Information

Additional. I'm interested in...

I would like to join for the Wednesday evening dinner (alumni of programs focused - all are welcome)

I would like to stay for dinner on Thursday evening

I plan to stay at the conference hotel

Permissions

Professional Learning Community

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I understand this is a listening tour and a community event wherein we share mutual goals of advancing healthy and meaningful dialogue to better understand each other's perspectives. I will conduct myself with professionalism and kindly and courteously work to ensure all voices are heard.

Yes

Other

Video, Name, & Photo Release

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Release. I acknowledge the Michigan Center for Civic Education (MCCE) and its partners may use the likeness, images, video, and names of students and adults affiliated with my school’s participation. I understand the above may be used for press releases, MCCE social media, school communications, video promotions, and other related communications. Should a student, school, or volunteer choose to withdraw from this agreement, the school or participant has an affirmative obligation to submit (e)written notification to MCCE staff at least 48 hours to the start of the event who will acknowledge and (e)sign the document prior to the beginning of an event. Advance notice is important in order to share with appropriate volunteers.

Yes

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(Optional) Payment Information (Scroll down to submit without credit card payment)

Below is an option to pay via Credit Card.If you are not paying by credit card, please continue to submit. If you are paying by check, please use MCCE's remote (home) office for an address. That is Ellen Zwarensteyn, attn: MCCE, 7096 Summit Hill Ct SE; Caledonia, MI 49316. The business office is also acceptable. The address is MCCE; Attn: Ellen Zwarensteyn, Attn: Conference; 306 Townsend St., Lansing, MI 48933. Please expect 2-3 weeks receipt delay if sending to the office due to COVID.

Conference Registration Fees	Quantity
$500 - MiCivics Level A Membership - includes 2 Conference Registrations, 1 Mock Trial Team, 1 We the People Team, and 1 Project Citizen Showcase Class fees waived. Plus 3 hours of dedicated professional learning and public celebrations of dedication to civic community.
$60 - Adult Registration
$30 - Student Registration
$60 - Donation: Sponsor a Teacher Scholarship for Attendees
$1,000 - Table Sponsorship (includes 6 conference tickets and named table signage)

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THANK YOU!

Thank you for championing Civic Education! Your involvement truly makes a difference.