Registration Form: Name (First, Last): Required Home Mailing Address (street address, city and zip): Required Check all that apply: Required Student Educator Administrator Community Member Other… Enter other… Grade Level(s) taught or Positions Held: Required Prek K-12 Post-Secondary Other… Enter other… School or Work Name, Mailing Address (street address, city, zip and phone): Required School or Work Phone: Required Email address: Required Cell Phone: Required Home Phone: Registration Fee: Required I will bring the $10 registration fee to the conference. My school is sending the registration fee of $10. Please send me an invoice. I would like to request a scholarship to cover the registration fee. Other… Enter other… Describe any special needs related to food allergies, etc Please note that more information about the conference will be provided once you have registered. Leave this field blank