FSMTA Conference Registration Form

FSMTA Conference Registration Form - 2022

October 20-23 ~ Hotel Venezia, 424 US 41 Bypass North, Venice, Florida 34285
Complete a registration form for EACH person attending.
Name *

First Name Last Name
E-mail *
Address *

Street Address

Street Address Line 2

City State

Zip Code
Phone Number *
MTNA # (if applicable)
FSMTA District #
Emergency Contact:
Emergency Contact Phone #:
Relationship:
First FSMTA Conference?

Yes No
New Member?

Yes No
Nationally Certified?

Yes No
State Certified?

Yes No
Student Member?

High School College
Full Registration – Includes all workshops, Teachers Recital, Saturday Banquet, Saturday evening Concert and Reception, Sunday Master Class, and Sunday Awards Brunch. Does NOT include Friday evening Student Honors Recital and Reception, Presidents’ Luncheon, or Wellness Committee Lunch.

$220 – MTNA member after July 31, 2022 $255 – Non-MTNA member after July 31, 2022 $100 - Full registration for spouse of FSMTA member $0 - Free for students with Student ID (excludes Friday Recital, Banquet, and Awards Brunch)
One-day Registration - MTNA Members

$75 - Friday $75 - Saturday $40 - Sunday $0 - Free for students with Student ID (excludes Friday Recital, Banquet, and Awards Brunch)
One-day Registration - Non-MTNA Members

$100 - Friday $100 - Saturday $60 - Sunday $0 - Free for students with Student ID (excludes Friday Recital, Banquet and Awards Brunch)
Individual Tickets

$20 - Friday Local and District Presidents' Luncheon $20 - Wellness Committee Luncheon Meeting with special guest speaker, Lois Svard $25 - Minimum donation for Friday evening Student Honors Recital/FSMTF Fundraiser $85 - Saturday evening Banquet, MTNA members (includes artist recital and reception) $110 - Saturday evening Banquet, Non-member (includes artist recital and reception) $30 - Saturday evening Conference Artist Recital & Reception, MTNA members $45 - Saturday evening Conference Artist Recital & Reception, Non-member; (students free) $20 - Sunday morning Awards Brunch
Total amount due for Conference Registration: $ *
No refunds.
Payment by: *

Check PayPal (don't need to have a PayPal account; pay by credit or debit card)
(Make your payment at the bottom of this page using PayPal button or follow instructions for sending check.)
Menu Choices
Saturday Banquet (included with full registration): All entrees accompanied by bread and salad, dessert with tea/coffee.
Saturday Banquet - Choose one

Chicken Marsala Seared Filet of Salmon Vegetable Napoleon
Requesting gluten-free option?

Yes
Other dietary restrictions? Please note here.
Friday Local and District Presidents' Luncheon (NOT included with full registration; purchase individual ticket above)

Friday Luncheon will be a soup/salad/sandwich buffet. Please check YES below if you need a gluten-free option:
Requesting gluten-free option?

Yes
Please make payment below.

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FSMTA Conference Registration Form - 2022