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First Name

Last Name

Primary Role Assistant/Assoc. Principal Assistant/Assoc.Superintendent Curriculum Director Curriculum Specialist Home-School Teacher Instructor Parent Principal Superintendent Teacher Technology Coordinator Other

Phone

Email

School/District

Do you have any dietary restrictions?

I agree to the gifting policy outlined below. I have read and agree to the terms and conditions below. I would like to request an invoice for the value of the food and beverage provided ($30) I will not consume food or beverage at this event

Please type your full name into the box below to accept the terms and conditions below

Comments

Savvas is committed to the highest standards of ethical conduct and does not intend to create even the appearance of impropriety or a perceived conflict of interest when providing a payment or other benefits to a school or school board employee, and we recognize that you are committed to the same standards. We also recognize that some states and/or school districts may have laws, policies, regulations, or rules, including with respect to potential conflicts of interest, prohibiting or limiting employees from receiving payment for services or reimbursement for food, beverage, transportation, and other expenses (collectively “Regulations”).  You agree that you have the permission of your school district to attend the professional development workshops and acknowledge that the receipt of food and beverage from Savvas valued at up to $30 complies with all Regulations, does not require disclosure by you or by Savvas, that you are authorized to make these representations, and that you will notify us at any time if you are, or become subject to, any Regulations. If Savvas becomes aware that your receipt of these items violates any applicable Regulations or otherwise requires disclosure, you understand that it may request reimbursement from you for the value of the items provided.

By submitting this form you agree to receiving personalized product information from Savvas in the future. You also agree to our terms of use and privacy policy and acknowledge that you are 18+ years old