Please enable JavaScript in your browser to complete this form.First Name *Last Name *Email- Confirm You Have Entered This Correctly *EmailConfirm EmailPhone *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeWhat is your current role in education? *What is your Facebook Profile Name? Are you an Illinois Educator? Document your IEIN# Below OR Your State's Equivalent (Insert 0 if Does not Apply) Game Changers- 21 Day Teacher Course *Early Bird Registration- Basic $97 (Perfect if you already own a copy of Game Changers- required for the course)Early Bird Registration- Bonus $120 (Includes a signed copy of Game Changers- required for the course)Game Changing Add-Ons NEWEST BOOK- 180 Days of Awesome Relationships- $20 Includes ShippingFULL LESSONS -180 Days of Awesome SEL- SEL Curriculum- Lower Grades (1st-4th) (Individual License to Digital Access) $97FULL LESSONS -180 Days of Awesome SEL- SEL Curriculum- Upper Grades (5th-9th) (Individual License to Digital Access) $97Yes! I want the Course E-Mails- Please Select Yes to Receive Important Group Resources & DownloadsLicensing & Copyright Agreement *I understand that enrollment for courses and curriculum is for individual use only. Sharing, recording, streaming, or distributing any part of the course or curriculum materials is forbidden. By checking this I box agree to the terms and conditions of Monica Genta, LLCTotal$0.00Credit Card *Card NumberSecurity CodeName on CardExpirationMM123456789101112/YY2425262728293031323334Comment or MessageWebsiteSubmit