2025 Conference Registration Form Please enable JavaScript in your browser to complete this form.1234Participant Contact InfoTitleDr.Mr.Mrs.Ms.Name *FirstLastJob TitleInstitution or OrganizationInstutition or Organization AddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeIf you are an educator, what level of students do you work with primarily?K-56-89-12K-12Post SecondaryN/AEmail *Phone *Personal Mailing Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNextPre-Conference Events and Add-OnsPre-Conference Events9:00 am – 11:00 am – Fort King – $5.00Begins at 11:00 am – Silver River Museum – $5.00Begins at 12:30 pm – Appleton Museum of Art – $5.00Time TPD – Marion County Museum of History and Archaeology – $4.005:00 pm – 6:15 pm – Sip and Scholarship with Brian Stoothoff – $25.00T-Shirt SizeSMLXLXXLPurchase T-ShirtT-Shirt – $20.00Purchase T-ShirtT-Shirt – $22.00Early Bird Raffle Tickets30 Raffle Tickets – $25.00PreviousNextConference RegistrationRegister for Conference SesionsStandard Registration (includes a 1-year FLCHE membership) – $110.00Spouse – $90.00Full Time Student – $70.00Dietary RestrictionsVegetarianOtherOther dietary restrictionPreviousNextProceed to PaymentUpdating preview…Total$0.00PreviousSubmit
