2019 Missouri PTA Convention Individual Registration Form
COMPLETE ONE FORM PER REGISTRANT
Your All-Inclusive Convention Package Contains:
Please complete all areas below.
Name *
Your answer
Office or position
Your answer
Address
Your answer
City, State, Zip
Your answer
Phone
Your answer
Email
Your answer
PTA Unit *
Your answer
Council (if applicable)
Your answer
In case of an emergency, please contact: *
Your answer
FOR STUDENTS - name of adult chaperone in attendance
Your answer
Please check all that apply
Meals
Breakfast: Complimentary Breakfast is available for delegates that are registered guests at the University Plaza Hotel. Details may be obtained directly from the hotel when making your registration. Delegates not staying on site may purchase the Breakfast Buffet at the Terrace Grill for $10.95. Hours 7:00 – 10:00 am.
Saturday Recognition Luncheon *
This meal is included with your convention registration fee and offers two delicious options of hot luncheon plates with a Garden Salad.
Saturday Awards Dinner *
This plated dinner is included with your convention registration fee and features two entrees.
Convention Pricing
Registration *
Total Due *
Your answer
Volunteers are the backbone of our organization. Convention, like other PTA events could not happen without the help of volunteers. If you would like to volunteer at this year’s convention please check yes and someone from our Board of Managers will contact you.
Convention is about learning new things, networking and getting answers. Tell us one question you have that needs to be answered
Your answer
Additional information that needs to be communicated (i.e. other dietary restrictions or food allergies):
Your answer
Refund Policy *
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