Summer Institute Registration

To attend the summer institute, download the Paideia Institute Registration Form , complete and mail it to: Anne Kaufman, Paideia Program, 2770 East Road, Wayzata, MN 55391. Questions can be directed to kaufman@augsburg.edu. The registration form below is a sample.

PAIDEIA INSTITUTE REGISTRATION FORM

Participant Information

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First and Last Name
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Home Mailing Address

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Email Address

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School and School District (if applicable)

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Grade and Subjects (if applicable)

Method of Payment (check one)

_____    Check enclosed, payable to Augsburg College – Paideia

_____     Credit Card charge (fill out the information below)

_____     Visa              _____     MasterCard

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Name on Credit Card

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Credit Card Number

Expiration Date (mm/yyyy) ________         CVV (3-digit Code on back)  __________

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Signature