SMCAA District Membership Application

District*
Region*
Primary's First Name*
Primary's Last Name*
Email*
Address*
City*
State*
Zipcode*
Phone*
(xxx-xxx-xxxx)
Accounts Payable Contact Information
Accounts Payable: First Name*
Accounts Payable: Last Name*
Accounts Payable: Email*
Accounts Payable: Phone*
(xxx-xxx-xxxx)
Select the appropriate Membership Level:

Membership fee is non-refundable
Pricing*

$150 - District Student Enrollment of 149 or less$300 - District Student Enrollment of 150 -300$425 - District Student Enrollment of 301 – 1,000$525 - District Student Enrollment of 1,001 – 3,000$625 - District Student Enrollment of 3,001 or more
Membership Add-Ons:
NEW 2025-2026: Add $450 to your Annual Membership for unlimited district staff registration for up to 6 guaranteed Webinars July 1, 2025 – June 30, 2026
6 Unlimited Staff Registration Webinars

$450
Take advantage of the 3-day Webinar training special for $240.00. (a savings of $60.00!) The various trainings included in this special are listed on the Membership Information page under Workshops and Trainings. One district staff member may attend these training opportunities. Valid July 1, 2025 - June 30, 2026. Take advantage of this $60.00 savings
3-day Training Special

$240
Annual PD package for $1,665.00, over a 25% savings! Any member district staff may attend these events. July 1, 2025 - June 30, 2026.
- One staff member attendance to our Fall Conference, Winter Symposium, and Summer Conference.
- One staff member attendance to our Quality Curriculum Retreat
- Two Professional development days, tailored specifically for your district, either in-person or virtually. If in-district presenter travel fees will be billed separately
Event Package

$1,665
Add Alternate Contacts to Receive SMCAA Emails and Logins to our Members Only Site:

Optional

Click Here to Add Alternate Contacts
In addition to a Primary Representative (your District Curriculum Contact), districts have the option of identifying and assigning up to eight alternate representatives.
Alternate 1 First Name
First Name
Alternate 1 Last Name
Last Name
Alternate 1 Email
Email
Alternate 2 First Name
First Name
Alternate 2 Last Name
Last Name
Alternate 2 Email
Email
Alternate 3 First Name
First Name
Alternate 3 Last Name
Last Name
Alternate 3 Email
Email
Alternate 4 First Name
First Name
Alternate 4 Last Name
Last Name
Alternate 4 Email
Email
Alternate 5 First Name
First Name
Alternate 5 Last Name
Last Name
Alternate 5 Email
Email
Alternate 6 First Name
First Name
Alternate 6 Last Name
Last Name
Alternate 6 Email
Email
Alternate 7 First Name
First Name
Alternate 7 Last Name
Last Name
Alternate 7 Email
Email
Alternate 8 First Name
First Name
Alternate 8 Last Name
Last Name
Alternate 8 Email
Email

Billing:
Amount to Bill
Billing*

Bill me now (before June 30)I prefer delayed billing (after July 1)
Purchase Order#*
Enter "n/a" if not applicable
By submitting this registration form I hereby agree: to granting SMCAA full right of ownership and free use without restriction of photographs of myself, for any and all purposes in promoting education in Missouri, including but not limited to printed publications, websites, and electronic newsletters. The Membership Fee is irrevocable and non-refundable.
Should be Empty:

Accounts Payable Contact Information

Select the appropriate Membership Level:

Membership Add-Ons:

Add Alternate Contacts to Receive SMCAA Emails and Logins to our Members Only Site:

Billing: