Individual Registration for RockingEduTech Conference
This form is to be used by teachers and administrators who plan to attend the conference and want to send a personal check for registration payment.
See our conference website at
Please join us!
What is your job title?
Content area and/or grade level
School and School Division
Do you require a gluten-free lunch?
Have you attended our conference before?
How did you hear about our conference?
At another conference I attended
None of these
School or division need an invoice? See
I am sending a personal check by mail.
My school is paying my registration and sending a check.
Make checks payable to Rockingham County Public Schools
Mail your check to:
Rockingham County Public Schools
c/o Stephanie Failes
100 Mt. Clinton Pike
Harrisonburg, VA 22802
Payment deadline: April 30 (Early Bird rate of $125), June 5 for all other
Contact Stephanie Failes at
with questions. Thank you!
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