GENERAL 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:
Required 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

Registration Rate
General Conference Registration $100



Demographics

Required What best describes your organization / affiliation?

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

OPTIONAL: Which category best describes your race/ethnicity. Answers are confidential.

I would like to receive updates from WA Charters




FRIDAY, MAY 3: OPENING RECEPTION (4:00-6:00 PM)



SATURDAY, MAY 4: LUNCH (11:45 AM-12:45 PM)



SATURDAY, MAY 4: NETWORKING HAPPY HOUR (4:15-5:30 PM)



DIETARY MEAL/FOOD OPTIONS (Check all that apply)





DIETARY RESTRICTIONS (Please explain below)

Please explain:


CHILDCARE

Onsite childcare will be provided for children between the ages of 4-12 on Saturday, May 4 only, from 8:00 AM to 5:30 PM. Breakfast will be provided at 7:30 AM for parents and children to eat together before signing in to childcare.


Please indicate the number of your children requiring childcare:

Please note any dietary restrictions your child(ren) have. If no restrictions, type NA.


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. Cancellation requests must be received in writing, via email; please review the cancellation deadlines below:

  • If received by March 30, 2019 - 80% refund
  • After March 30, 2019 - No refund

You can transfer a registration without penalty. To request a transfer, please email .

Required




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.




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to proceed to a verification and payment page



Washington State Charter Schools Association Conference Registration Office

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