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NCAOSA Registration Form
Use this form to register for a single workshop or to become a member of our chapter. You can use this form as an individual or for your institution.
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1
Name
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First Name
Last Name
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2
E-mail
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3
Phone Number:
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Area Code
Phone Number
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4
Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Cook Islands
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Cote d'Ivoire
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Cuba
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El Salvador
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Finland
France
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The Gambia
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Latvia
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Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
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
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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
United Arab Emirates
United Kingdom
United States
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
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
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
United Arab Emirates
United Kingdom
United States
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
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5
Are you a member of AOSA?
*
This field is required.
AOSA is the national organization of which NCAOSA is a chapter. AOSA membership is separate from NCAOSA membership. AOSA members receive a subscription to AOSA publications, are eligible for AOSA scholarships and grants, and have on-line access to AOSA classroom resources and other member benefits. We strongly encourage NCAOSA members to join AOSA. Visit http://aosa.org for more information.
Yes
No
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6
What is your profession?
*
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7
If you teach children, what grade levels do you teach?
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8
Type of registration
*
This field is required.
If you will only attend one workshop during this member year (school year) you may prefer to register and pay for a single workshop fee. If you will attend two or more workshops during this member year, or if you would like access to member benefits like the instrumentarium loan program or access to archival video footage, please register and pay for a membership.
Annual Membership: Individual
Annual Membership: Institutional
Single Workshop Fee
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9
Annual Membership: Individual
With your annual individual membership, you are automatically registered for all workshops during the current school year at no additional fee, and you will receive a member discount on our mini-conference registration rate.
$100 regular membership (Select #1 on next screen)
$65 retired membership (Select #2 on next screen)
$0 full-time student membership w/ valid ID (Select #3 on next screen)
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Annual Membership: Institutional
With your annual institutional membership, up to 10 people from your organization are invited to attend each workshop during this school year at no additional fee.
$325 Institutional Membership (Select #4 on payment screen)
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Annual Membership: Institutional
If you selected an institutional membership, please list the names of the individuals from your organization who will be attending workshops this year. If you do not know their names at this time, please email them to registrar@ncaosa.org in the weeks leading up to each workshop.
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Single Workshop Fee
Paying for a single workshop is a cheaper option if you will only attend one workshop during a given school year. For full time students, please go back and choose the Individual Membership option (membership is free for full time students with valid ID).
$75 regular (select #5 on next screen)
$45 retired (select # 6 on next screen)
$0 reciprocal chapter member (select #7 on next screen)
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Single Workshop Fee
Which workshop will you attend? (Note: registration for the masterclass and mini-conference are in a separate form. Email registrar@ncaosa.org for more information).
Fall Workshop: September 29, 2018 – Dr. Marla Butke
Winter Workshop: February 23, 2019 – Christine Schönherr
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14
Calculation (TOTAL)
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15
Payment – add to cart
*
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Please choose ONE item from the list below. Then click the plus icon to add to cart. Choose the item that matches the selection you made previously with this form. Questions? Email registrar@ncaosa.org for help.
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