2017 GVATA Summer Conference Registration
Please fill out this form in its entirety.
First Name *
Your answer
Last Name *
Your answer
School *
Your answer
School System *
Your answer
Gender *
Ag. Ed. Area *
School Mailing Address *
Street or PO Box
Your answer
School City *
Your answer
School Zip Code *
Your answer
School Phone *
Your answer
Home Mailing Address *
Street or PO Box
Your answer
Home City *
Your answer
Home Zip Code *
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Non-School Email Address *
This is address will be used for GVATA, NAAE, and PRC communication
Your answer
Number of Years Completed *
as of June 30, 2017
Conference Registration
$75 member registration; $150 non-member registration
GVATA/NAAE Professional Dues
$40 pays state dues, $60 pays national (NAAE) dues
GVATA PRC *
Professional Representation
Lunch Guest
This is for guests of conference registrants. Lunch (on Monday) is part of the conference registration for all GVATA members.
GVATA Flower / Memorial Fund
GVATA makes a $100 donation to the FFA Foundation in memory of deceased agriculture teachers
Georgia FFA Alumni Association Dues
GACTE/ACTE Dues
Georgia Association of Career and Technical Education
NAAE Legislative Fund
for national legislative issues
Agricultural Education Magazine
on-line access
Ft. Valley State University Alumni Dues
Georgia FFA Foundation
Donation
Your answer
GVATA First Year Teacher Scholarship Fund
Designed to offer assistance to individuals beginning their journey as an Agriculture Educator.
ADVANCE Ag Institute - UGA summer program for rising high school seniors with an interest in agricultural education (becoming an agriculture teacher)
Donation
Your answer
NAAE Ag Educators' Relief Fund
Donation: Designed to assist individual NAAE active members during a time of personal crisis or need.
Your answer
Payment
If you plan on pre-paying, payment must be postmarked no later than June 30.
Credit card payment will be available on-site.
If you need an invoice prior to conference, please email gvata.sec@gmail.com to request an invoice. If requesting an invoice for all teachers within a school system, it is imperative that all teachers be pre-registered before requesting system invoice.
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