CHAMP CAMP-NYSSCA 2018

SUMMER IS COMING, time to implement new program regulations before the 2019 deadline. Learn all about it at a NYSSCA CHAMP CAMP!

Program is 8:00 am - 4:00 pm. Select from FOUR locations:

Tuesday, July 24, 2018 - Mercy College, 555 Broadway, Dobbs Ferry, NY

Thursday, July 26, 2018, Glens Falls HS, 10 Quade St, Glens Falls, NY

Tuesday, July 31, 2018, OCM BOCES, 110 Elwood Davis Rd., Liverpool NY

Thursday, Aug 2, 2018, Orchard Park HS,4040 Baker Rd, Orchard Pk, NY

Thank you for registering to attend CHAMP Camp. We want to make the process as easy as possible. You will need to complete a separate registration form for each individual attending. If you have any questions about registration, please email CHAMPCamp@nyssca.org.

First Name *

Last Name *

E-mail *

Phone Number-include area code *

Address

Institution (School) Name

Street Address (If Work: School or Business Address) *

Address Line 2

City *

State *

Zip Code *

Work Setting (Choose all that apply) *

Elementary Middle School High School K-8 K-12 District Higher Education

Postion Title (Choose all that apply) *

School Counselor Building Leader District Leader Non-Administrative Department Head Administrative Department Head Counselor Educator

Are you a NYSSCA Member? Contact membership@nyssca.org if you are not sure *

Yes No

Choose which 2018 CHAMP Camp you will attend: *

July 24th at Mercy College, Dobbs Ferry July 26th at Glens Falls HS, Glens Falls July 31st at OCM BOCES, Liverpool Aug 2nd at Orchard Pk HS, Orchard Park

Conference Registration & Payment:
Please Choose Credit Card or Check/PO. You will be redirected to enter your registration information.

(If you choose to pay by check or purchase order, print a copy of this form and mail with your payment/PO to CHAMP Camp Registration, 25 William Ave., Central Islip, NY 11722. You can also attach a PO to this form. You must pay by July 15th to guarantee a seat at this conference)

Please choose one *

NYSSCA Member - Credit Card Registration ($49) NYSSCA Member - Check or Purchase Order Registration ($49) Non Member - Credit Card Registration-Includes 1 year Membership ($99) Non Member - Check or Purchase Order Registration-Includes 1 year Membership ($99)

Attach Purchase Order Here

If paying by check or Purchase Order:
Please mail your check or purchase order made payable to NYSSCA (with a copy of your email registration receipt) to:
Bob Rotunda, NYSSCA Executive Director, 25 William Ave., Central Islip, NY 11722

Pay by Credit Card

CHAMP Camp NYSSCA Member Registration 2016 $ 49.00

CHAMP Camp NYSSCA Non-Member Registration 2016 $ 99.00