Primary Presenter FIRST Name (First/Solo presenter) *

Primary Presenter LAST Name

Primary Presenter Email *

Primary Presenter Position *

Primary Presenter School/Agency *

Primary Presenter Address (street, city, state, zip) *

Primary Presenter Phone (preferred contact number) *

Co-Presenter Name (Second) ++ Only the first two presenters receive the speaker registration rate.

Co-Presenter Email

Co-Presenter Position

Co-Presenter School/Agency

Additional Presenters Name & School/Agency

Type of Session (45 min) *

This conference will be using a digital platform. Indicate your preference: *

Focus of Presentation (check all that apply) *

Level of Presentation *

Title of Presentation (10 words or less) *

Presentation Abstract: Provide an overview, in 150 words or less, of your presentation. Include the following (a) purpose, (b) overall program content, (c) discussion, and (d) summary/conclusion. Acceptance of this presentation by the 50th National Adapted Physical Education Conference does not indicate reimbursement for registration or speaker expenses. All responses are due by June 30, 2021. Final selection and notification will occur toward the end of July of 2021. If needed, selected presenters will be responsible for submitting their recorded presentation by the end of September. Directions and support for recording presentations will be provided if needed. *