2023 Conference Registration

1
Your Name* This field is required.
First Name
Last Name
2
School Name* This field is required.
3
School Address* This field is required.
Street Address
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
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Algeria
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Anguilla
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Brunei
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Chile
China
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Dominican Republic
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Egypt
El Salvador
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Eritrea
Estonia
Ethiopia
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Finland
France
French Polynesia
Gabon
The Gambia
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Liberia
Libya
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Lithuania
Luxembourg
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Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
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United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
4
Contact Person's Email Address* This field is required.Please provide the email address where you want conference information send
Email Address
5
Contact Person's Phone Number* This field is required.
Area Code
Phone Number
6
How many total STUDENTS are attending the conference with you?* This field is required.
Total Number of Students
7
How many total ADULTS are attending the conference INCLUDING you?* This field is required.
Total Number of Adults
8
Total number attending the conference from your school?* This field is required.Students and Adults
Total Number attending
9
What is your total amount to be paid for registration fees? Multiply your TOTAL NUMBER OF ATTENDEES x $55. What is the resulting dollar amount?* This field is required.Total Number Attending & Amount To Be Paid
Total Number Attending From Your School
Total Dollar Amount to Be Paid
10
For students and adults, how many meals should we prepare?* This field is required.Type the number of regular, vegetarian, Vegan, and gluten free meals we should prepare for your group. The total number of meals should equal the total number of people in your group attending.
Regular Meals
Vegetarian Meals
Vegan Meals
Gluten Free Meals
11
For students and adults, what quantity of t-shirt sizes should we prepare?* This field is required.Type the number of each t-shirt size we should prepare for your group. The total number of t-shirts should equal the total number of people in your group attending. You will have the chance to specific 4X and 5X shirts on the next screen.
(YM) Youth Medium
(YL) Youth Large
(S) Small
(M) Medium
(L) Large
(XL) Xtra-Large
(XXL) 2Xtra-Large
(XXXL) 3Xtra-Large
12
For students and adults, what quantity of 4X and 5X t-shirt sizes should we prepare?* This field is required.
(4XL) 4Xtra-Large
(5XL) 5Xtra-Large
13
Conference Registration Cost* This field is required.Select the total number of attendees.
prevnext( X )
My Bag
1
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
Conference RegistrationAdd your total number of attendees to the drop down box below.
$55.00+Edit
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Quantity
Subtotal: $0.00
Total cost $0.00
14
Do you agree to our terms of payment?* This field is required.Submission of this registration form via online, US mail, email, or fax will hold your registration for the number of attendees listed on your registration form. Changes TO THE REGISTRATION FORM will be accepted up to Friday, September 22, 2023 You are responsible for paying for student’s registration whether they attend the conference or not if not canceled prior to Friday, September 22, 2023 Meals, t-shirts, and materials WIlL BE ordered based on the number you have submitted as of September 22, 2023
Yes
No
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