Northwest Region: Indian Education Summit

» Registration Form

Please complete the following form:

Name: Street Address: City: State: Zip: Email: Work Phone: Secondary Phone: School District/Organization:
Seeking college credits? Yes No (ED 491-43: $87 per credit)

Special Event (Wednesday, June 30th) - Choose one (The cost of special events is covered by the registration fee)

Jet Boat Tour
18 Hole Golf Package
I will not be able to participate in either activity

Please list any special considerations that we need to know about:

Payment Information

Fees:

Early Registration .................................... $175
Late Registration (after May 28^th) ......... $200

Summit Registration Waiver:

If a school/organization sends four (4) participants then one (1) registration fee is waived ... for more information about the waiver contact:
Lisa Guzman 208.792.2743 (lmguzman@lcsc.edu)
or Chris Meyer 208.686.5013 (cmeyer@cdatribe-nsn.gov)

Make Payment to:

LCSC NWRIES

Payment Mailing Address:

Lewis-Clark State College
Northwest Region IES
Attn: Lisa Guzman
500 8th Avenue
Lewiston, ID 83501

Payment Methods:

Checks and school purchase orders accepted. During the first day of the summit credit card payments will be accepted (Master Card, American Express, Discover - NOT VISA)
Please do not plan on paying with cash.

Jet Boat Tour

Registration fees for the summit includes a boat tour through the historical landmarks of Hell's Canyon. An exquisite meal will be provided during the tour.

More Information ...

Beamers - Hells Canyon Jet Boat Tours

18 Holes Golf Package

Enjoy 18 holes of unlimited golf for the day that includes a golf cart and lunch at Bryden Canyon in Lewiston. Golf clubs are available.

More Information ...

Bryden Canyon Golf