2016 Say Yes to FCS Conference Registration
Please complete all questions. PRINT a copy for your files before submitting this form.
Send Payment and photocopy of this form to:
Kristie Kuhse, IFCSE Conference Coordinator, 216 Elm Street, Waverly, IA 50677

Refunds: Full refunds made prior to May 20, 2016, in writing to Conference Coordinator minus $30 IFCSE/IACTE Membership PLUS a $25.00 handling fee. After June 2, 2016, no refunds will be issued.

First Name: *
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Last Name: *
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School/Organization Name: *
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School/Organization Address: *
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School/Organization City: *
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State:
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Zip Code: *
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Phone Number: *
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AEA:
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School /Work Email Address: *
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Home/Summer Email Address: *
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Home or Cell Phone Number:
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Home Address:
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Home City:
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Home Zip Code:
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Sunday, June 12 Evening Session (Meal will not be served)
First time attending this conference:
Years as an FCS Professional: *
Years as an FCS Professional: *
I am interested in earning 1 graduate credit to attend Conference. *
I am interested in learning more about the UNI sponsored Post Conference STEM and Fashion or Bullying Prevention Workshops. *
Current professional organization membership: *
Full Conference Registration (Sunday-Tuesday). Membership payment required for IFCSE.
Full Conference Registration (Sunday-Tuesday) Iowa Affiliate AAFCS ONLY - must provide membership number below.
AAFCS Membership Number (AAFCS Members only required to list number)
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Late Registration (after May 20, 2016)
One Day Conference Registration (Iowa AAFCS Members are not required to pay IFCSE dues)
College Student
Do you need an invoice? List the Purchase Order Number from your school.
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School Business Manager/Supervisor Email: *
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Monday Afternoon Tour Choice: *
Tuesday Afternoon Tour/Session: *
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