JA Regional Learning Conference

JA Regional Learning Conference

September 15-17, 2025 • Cincinnati, OH
Full Name

First NameLast Name
Title:
JA Area
Emergency Contact:

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
How long have you been with JA?
Will you have attended theNLC in Cleveland?
Please sign up for a conference track that most closely aligns with your position title.
I will be paying by:
Click here to pay by credit card. This will open a new tab. Please don't forget to submit this form. Thank you!
How many registrants?
Registrant 1

First NameLast Name
Conference track:
Registrant 2

First NameLast Name
Conference track:
Registrant 3

First NameLast Name
Conference track:
Registrant 4

First NameLast Name
Conference track:
Registrant 5

First NameLast Name
Conference track:
Registrant 6

First NameLast Name
Conference track:
Invoice Request
prevnext( X )
Conference Fee
$175 before August 1.

$200.00 How many attendees?

Total

$0.00
Should be Empty: