Southern Regional Cluster Registration Form

Southern Regional Cluster 2025

From Foundation to Future: Fundamental Principles to Building a Solid Foundation
MARCH 21-23, 2025
Wyndam Garden Tallahassee Capitol

Hotel Address:

1355 Apalachee Parkway

Tallahassee, Florida 32301

To reserve call: +1 (850) 299-2300 by February 20, 2025

Block: The Academia Society

Rate: $99/ night
Name

First NameLast Name
Chapter Affiliation
Phone Number
Format: (000) 000-0000.
Email
example.name@tas1985.com
T-Shirt Size
Food Allergies
Do you need Americans with Disabilities Act (ADA) accommodations or support?
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

MPAC Scholar

SR or visiting scholar: price includes registration gift

$100.00 Quantity

MIC Scholar

SR or visiting scholar: price includes registration gift

$75.00 Quantity

MRSB, MRFSB, Former MESRD

Only select if you meet the above criteria.

Free Quantity

Enter coupon

Total

Southern Regional Cluster 2025