ASAHPERD SPRING CONFERENCE 2018 ONLINE PRE-REGISTRATION
April 20 - 21 Phoenix VI & VII Orange Beach, AL

APRIL 13, 2018 DEADLINE

IMPORTANT INFORMATION:

  • If you teach, coach, or are employed (or student) in health, physical education, athletics, fitness, etc. you must be a current member of ASAHPERD to attend the conference at member rates. Join online at www.asahperd.org or pay at the conference.

  • If you miss the April 13 online preregistration deadline, you may pay registration fees (additional $20.00) and membership fees upon arrival at the conference.

MEMBERSHIP:

  • It is best to pay membership online. However, you may mail your membership payment by using the membership form available at http://www.asahperd.org/content.asp?id=619757. If you pay your membership dues online AFTER APRIL 14, be sure to bring verification of payment to the conference.

REFUNDS:

  • If you pre-register and are then unable to attend the conference, submit notification in writing and return your receipt along with a self-addressed stamped envelope postmarked by April 19, 2018 to the address below. Refund requests are subject to a 25% service charge. No refunds are available after this deadline.

COMPLETE THE FOLLOWING INFORMATION - ALL FIELDS REQUIRED

First Name: Last Name:
School/Work Affiliation: Home Address:
City: State
Zip: Email
Home, or Cell Phone: Work Phone:

Name Badge Information
Name:
School/Work Affiliation:

Conference Registration Fee: Does not include required membership fee (join online www.asahperd.org)
Choose one:Preregistration by April 13On-site Registration
Professional$55.00$75.00
Student*$20.00$40.00
Paraprofessional$30.00$50.00
Retired/Life$20.00$40.00
Non-member**$115.00$135.00
*Available to full time undergraduate and graduate students. K-12 teachers in graduate school do not qualify for student rate.
**Intended for individuals outside the HPERD fields of study or employment.

 Payment Information
Total Amount Due:
Credit Card Number:
(enter without spaces)
Expiration Date (mmyy):
We accept Visa, MasterCard, American Express and Discover.

***Credit card billing address must match mailing address provided above

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Questions? Contact Donna Hester by phone 205-388-0304 M-F 9am - 3pm or email dhester@asahperd.org

ASAHPERD - PO Box 369 - Arley, AL 35541