2018 FWATA-Group-Registration-Info-Form.xlsx
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Instructions: Obtain the following information for ALL individuals that you will be registering and paying for PRIOR to registering online.
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RED = Mandatory field Items
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(For "Registration Types" and Fees, go to: http://www.fwatad8.org/committees/annual-meeting/ >> "Registration Rates" tab)
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Go to FWATA Registration Website
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Find and Click on "Register" button
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1) Register "Primary Registrant" (or Group Leader) information.
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2) Click "Add Person" and input registrant/attendee information.
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(Repeat step above, until ALL individuals in group have been added)
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3) Select "Finished Adding People" to continue to payment.
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Suggestion:
Distribute hard/electronic copy of this form for all individuals to complete and return PRIOR to registering group online.
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Registrant Information:
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First Name
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Middle Initial
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Last Name
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Nickname
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Email
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Registration Type
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NATA Member (Y / N)
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NATA Member #
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Email
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Full Name & Credential on Badge
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Emergency Contact Name
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Relationship to Registrant/Attendee
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Emergency Contact Phone Number (000-000-0000)
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Home Address
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City
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State
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Zip Code
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Mobile Phone (000-000-0000)
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Guest (if applicable):
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First Name
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Last Name
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Registration Questions:
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Attending FWATA Award Dinner? (Y / N)
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If YES, do you want beef, chicken, or vegetarian?
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If you are choosing to select and pay for FWATA Scholarship Golf Player Registration:
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What are the FIRST and LAST NAMES of players you wish to golf with?
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Session Registration (Certified ONLY): ANSWER YES or NO
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*Pre-Conference Learning Lab (Add. $60)
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EBP Session 1 (Complimentary)
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EBP Session 2 (Complimentary)
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EBP Session 3 (Complimentary)
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Gatorade EBP Session Interest Sign-Up (Complimentary)
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(NOTE: The options above will NOT display if Registration Type for "Student" or "Certified Student" is selected.)
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*Optional Item Registration: Quantity Required
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Additional FWATA Awards Dinner Ticket - $70 (must indicate CHICKEN, SALMON or VEG)
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Networking Appt: ANSWER YES or NO
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Do you want to included your contact info for networking?
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Acknowledgement Statements: ALL attendees must select "YES, I have read and acknowledge the above statement" to register
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See Acknowledge Statements in other document (RE: Attire, Photography Release, Alcohol, etc.)
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(*)NOTE:
If Primay Registrant (i.e. Employer/School/Company) does NOT wish to pay for "Optional Item Registration" selection above:
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1) Leave selections blank (so fees/charges are not included on invoice)
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2) Individual attendee/registrant MUST contact FWATA Registration Chair, Ginger Lei Ehrke,
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directly to modify, select, and pay for the optional items of their choice.
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Ginger Lei Ehrke
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salergc@nv.ccsd.net
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808-756-2130
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