Conference Registration Form
November 6th, 2019
Located at Hampshire High School, in Hampshire Illinois
Please be sure to complete EVERY question below, and expect a confirmation email within 3 business days.
The registration deadline is October 23rd.
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Email *
Full Name (Last, First) *
School District Name *
Best Contact Phone
Date of Birth (Please note this is for security purposes to pre-register everyone in our security system as a visitor.  If you would prefer to check in that morning in person, you may, but will need to check in at the front office and allow additional time. )
Payment Information  - Below please enter your district's billing address and billing contact name. *
Please select your first choice for the morning break out session. *
Please select your first choice for the PM breakout session. *
Required
Who is your math hero?
What is your favorite math topic or standard to teach?
If this conference is successful, what would you hope to leave the day with?
T-Shirt Size (Swag for Coming)
Clear selection
A copy of your responses will be emailed to the address you provided.
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