2019 New Mexico PTA Convention Registration
First Name *
Your answer
Last Name *
Your answer
How is this registration being paid? *
Association *
If you chose "Not Representing a PTA" for the previous question, please specify what association you are representing. Include title, if applicable.
Your answer
Email Address *
Your answer
PTA Position and Memberships
Is this your first NMPTA convention? *
Please select your current or incoming board position.
Are you a PTA member? *
Are you a member of Land of Enchantment PTA? *
Are you a National PTA Lifetime member? *
Are you an Honorary NMPTA Lifetime Achievement member? *
Meals and Attendance
Would you like your meals to be vegetarian? *
Would you like your meals to be gluten-free? *
Other dietary restrictions (allergies or medical requirements, not preferences)
Your answer
Will you be attending the Convention on Friday, May 3? *
Will you be attending the Convention on Saturday, May 4? *
Do you require any special accommodations? If yes, please state need.
Your answer
How did you hear about Convention? *
Home Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Daytime Phone Number *
Your answer
Name of Emergency Contact *
Your answer
Phone Number of Emergency Contact *
Your answer
Photography Policy
New Mexico PTA reserves the right to use any photograph/video taken at any event produced and sponsored by New Mexico PTA. By attending the event, I grant permission to the New Mexico PTA to include my image in the photograph/video. New Mexico PTA may use the photograph/video in publications or other media material produced, used or permitted by New Mexico PTA including but not limited to: brochures, invitations, books, newspapers, magazines, television, websites, etc. Any person desiring not to have their photo taken or distributed must contact New Mexico PTA in writing of his/her intentions and include a photograph. New Mexico PTA will use the photo for identification purposes and will hold it in confidence. If you wish to be excluded from any photos, please call the New Mexico PTA Office at (505) 881-0712. By registering, you are acknowledging acceptance of these terms.
Cancellation/Refund Policy
Registration cancellation requests must be made in writing and sent via email before Wednesday, April 24, 2019 to nmpta@newmexicopta.org. NMPTA will not honor refund requests after the deadline.

All cancellations and refund requests will be subject to a $5.00 processing fee. You may substitute another attendee at any time. Please send substitution information to the email address above.

Under no circumstances will refunds be provided to no-shows.

McDonald's Exceptional Educator Award
Would you like to nominate a teacher for the McDonald's Exceptional Educator Award? *
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