Arkansas ASCD 2018 Annual Conference
Registration Form
Hot Springs Convention Center, Hot Springs, AR
June 10-13, 2018
Theme: R.I.S.E. and Shine: Personalized Learning for All!
Last Name:
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First Name:
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Representing School/Organization
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Job Title/Position
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Preferred Mailing Address
Street Address or PO Box
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City
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State
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Zip Code
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District Phone #
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School/Office Phone #
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Email Address
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Fewer than 7 years experience
Interest in New Leaders
Coming As Part of a Team
Membership Status
Membership Status
PreConference - Early Bird Fees (Received by April 30, 2018) Sunday - June 10th, 1:00 - 4:00, Hot Springs Convention Center
PreConference - Advanced Fees (Received by May 15, 2018) Sunday - June 10th, 1:00 - 4:00, Hot Springs Convention Center
PreConference - Advanced Fees (Received after May 15, 2018) Sunday - June 10th, 1:00 - 4:00, Hot Springs Convention Center
Conference - Early Bird Fees (Received by April 30, 2018)
Conference - Advanced Fees (Received by May 15, 2018)
Conference - Advanced Fees (Received after May 15, 2018)
Total Conference Payment
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Payment Method
Purchase Order #
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