KENTUCKY DRIVER TRAINER ASSOCIATION
Leading the Way in the Safe Transportation of Kentucky Children
Registration Form
2010 Summer Conference
July 11 – 14, 2010
Galt House Hotel
Louisville, Kentucky
Phone: 1-800-843-4258
Last Name: ___________________First __________________________MI:______________________________
Title: _____________________________________________Phone Number _____________________________
District/Organization Name: ____________________________________________________________________
Address: _____________________________________________________________________________________
e-mail _______________________________________________________________________________________
Signature ____________________________________________________________________________________
Amount:
________ 95.00 (includes yearly membership fee and Conference Brunch)
________ Extra Meal Tickets (30.00 each)
________ Mechanic Classes Only (50.00)
________ P. O. Number
Please send to: David Jones
Adair County Schools
1204 Greensburg Street
Columbia, KY 42728
Phone: (270) 384-2476 Fax: (270) 384-5841 e-mail:
david.jones@adair.kyschools.usYou may download this form from the KDE website (go to
www.education.ky.gov) and choose "Administrative Resources" from the toolbar across the top of the page, then click choose "Transportation" from the column on the left, then choose 2010 Summer Conference" and click on 2010 Summer Conference Registration Form"Registration form is also located on the Kentucky Driver Trainer Association website (go to www.kdta.net).