PARENT REGISTRATION

Attendee Information

Please type information as you would like it to appear on your badge.

Fields marked with an arrow ( Required ) are required.

Required First Name:
Required Last Name:
Required Job Title:
School/Organization:
Required Mailing Address:
  Mailing Address Continued:
Required City:
Required State/Province:
Required Country:
Required Zip Code:
Required Telephone:
  FAX:
Required Email:

If you have a registration code, please enter it here:




Conference Registration Options

Early Rate - Register
On or Before Apr. 14
Standard Rate - Register
After Apr. 14
Parent Conference Registration * $25 $25

* If you received a scholarship to cover the registration fee, enter your code above. Need to apply for a scholarship? Send an email to: .




Demographics

Required What best describes your organization / affiliation?

Required How long have you been involved in the charter school movement in WA?

I would like to receive updates from WA Charters (select all that apply)
Newsletter
Media Coverage Roundup
Press Releases
Other Updates



FRIDAY'S KICKOFF HAPPY HOUR (5:00-7:00 PM)

I will be attending
I will NOT be attending



SATURDAY LUNCH (12:15-1:30 PM)

I will be attending the Saturday lunch
I will NOT be attending the Saturday lunch



DIETARY MEAL/FOOD OPTIONS (CHECK ALL THAT APPLY)

Please provide me vegetarian meal/food options
Please provide me gluten free meal/food options
I have other food restrictions not listed above (please describe below)



Dietary Restrictions

Please explain:



Americans with Disabilities Act (ADA)

I will need ADA accommodations or have other special needs.

Please explain:

You may choose to send an email to regarding your Americans with Disabilities Act needs.




Cancellation & Refund Policy

There are penalties for conference cancellations. Conference cancellations must be received in writing; please review the cancellation deadlines below:

  • If received by April 14, 2017 - 80% refund
  • After April 14, 2017 - No refund

You can transfer a registration without penalty. Email to or fax to (541) 346-3545.

Required I have read and understand this cancellation policy and agree to the terms of the policy.




Registration Disclaimer

Photographs & Taping

By registering for The Washington State Charter Schools Association Conference, please be aware that the Washington State Charters Schools Association (WA Charters) intends to photograph, audio record, and/or audio visually record some of our sessions and other activities. WA Charters may make use of such photographs and recording including creating, distributing, and transmitting copies of them, and/or promotional or advertising uses, without restriction of media. If you do not wish to be photographed, audio recorded, and/or audio visually recorded, please feel free to excuse yourself from any potential photographs and recordings during The Washington State Charter Schools Association Conference.




Please click

to proceed to a verification and payment page



Washington State Charter Schools Association Conference 2017 Registration Office

Email:
Phone: 800.280.6218
Fax: 541.346.3545
Mail: Washington State Charter Schools Association Conference 2017 Registration
1277 University of Oregon
Eugene, OR 97403-1277