2018 AKTA Adjudications Form
Please return this completed form no later than October 26, 2018. Any late forms will not be processed.
Email address *
Phone Number: *
Instructor's First & Last Name *
I need to reserve the following time slots: *
0 students
1 student
2 students
3 students
4 students
5 students
6 students
7 students
8 students
9 students
10 students
more than 10
15 minutes
25 minutes
35 minutes
Days I prefer: *
Your requests will be considered at a first come, first serve basis. We will do our very best to accommodate your requests.
Required
Time slots I prefer: *
Your requests will be considered at a first come, first serve basis. We will do our very best to accommodate your requests.
Required
Do you want a private 15 minutes conference with the adjudicator? *
There is an extra $15 charge.
I understand my registration form is not complete until payment is paid in full. You will receive a PayPal invoice by the event coordinator after this form is submitted. *
Submit
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