2019 NAEYC Annual Conference Registration form Nashville ...

2019 NAEYC Annual Conference Registration form Nashville, TN November 20-23

Print clearly or type, and complete ONE form for EACH registrant. Groups of 10 or more may qualify for the Group discount. Please refer to the Group Registration instructions. A different Registration form for presenters is at .

_________________________________________________________________________________________________________________________________________

Last name

First name

Middle initial

____________________________________________________________________________________________________________________ q home or qbusiness

Organization (if materials are being mailed to your business address)

_________________________________________________________________________________________________________________________________________

Street

City

State

ZIP/Postal code

_____________________________________(

)______________________________ _____________________________________________________________

Country

Daytime telephone Email (Important! Your Registration confirmation will be e-mailed to you.)

q Check here if you have special needs. Please specify: ___________________________________________________________________________________________ NAEYC sometimes rents its Annual Conference mailing lists to exhibitors and affiliates. Check here if you wish to have your name removed q Exhibitors q Affiliates

Annual Conference Registration

Member Nonmember*

Early Bird

Regular

(Ends Sept. 13) (Sept. 14-Oct. 18)

q$295

q$325

q$450

q$480

After Oct. 18 q$385 q$540

I f you are registering at the NAEYC member rate (applicable for standard and premium levels only), provide your valid/current NAEYC Membership ID # ________________________

One-Day Member

q$205

q$235 q$295

One-Day Nonmember*

q$335

q$365 q$425

For One-Day registration, please indicate day__________________

Annual Conference Registration fee $___________ Registration Discount Code (if applicable)___________

*Includes complimentary entry level NAEYC membership. Email address is required for nonmember registrants to receive the complimentary entry level NAEYC membership with their registration.

Separate-Fee Workshops--Tuesday, November 19

Workshop and special event descriptions can be found at

A Beginner's Guide to Your Accreditation Journey; 8:30 am?11:30 am

q $129 (member) q $159 (nonmember)

Mapping Your Accreditation Journey; 12:30 am?3:30 pm

q $129 (member) q $159 (nonmember)

Higher Education Faculty Workshop: Completing the NAEYC Higher Education Accreditation Process; 8:30 am?4:00 pm

q $199 (member) q $249 (nonmember)

Where's the Math??A Day with the Authors; 8:30 am?3:00 pm

q $239 (member) q $299 (nonmember)

Families and Educators Together?A Day with the Authors; 8:30 am?3:00 pm

q $239 (member) q $299 (nonmember)

FREE WORKSHOP (space is limited)

q From Power to the Profession to Unifying Framework:

Making the Profession a Reality; 12:00 pm?4:00 pm

SPECIAL EVENT? Friday, November 22; Showtime?7:00 pm Rockin' at the Ryman (provided by the Nashville Area AEYC) $75?Tier 1 Balcony Tickets ______ $55?Tier 2 Balcony Tickets ______

Workshop fee $________ Special Event fee $________

Payment method (no purchase orders) q Check/money order enclosed q VISA q MasterCard q American Express qDiscover

If you are paying by credit card, fax this completed form to 708-344-4444.

_________________________________________________________________________________________________________________________________________ (Card number)(Expiration date)

_________________________________________________________________________________________________________________________________________

(Printed name of cardholder)

(Signature of cardholder)

Total enclosed $_________________

Additional Information

q This is my first time attending an NAEYC Annual Conference.

How did you learn about the 2019 Annual Conference? q Young Children journal q NAEYC's website q NAEYC's Annual Conference Preliminary Program

q NAEYC e-News q Email from NAEYC q Recommendations from colleagues q Other _________________________ Where are you staying in Nashville? q Hotel name____________________________ q live in area q staying with friend/relative

Circle your business description and job title. Please choose only one in each category.

Business Description

NAEYC Affiliate

Child Care Program or Early Learning Center

Faith-Based Organization

Government (including county, state agency, federal agency, Head Start, military)

K-3 Private School

K-3 Public School

School District Office/Private School Office

Training or Resource & Referral Agency University or College Bookstore (general) Bookstore (university or college) Library (general) Library (university) Adult Education Center Family Childcare Provider Reseller/Distributor International Company or Organization

Job Title

Director/Assistant Director Curriculum Specialist Teacher/Teacher's Assistant Trainer/Coach/Consultant Faculty/Professor Principal Superintendent Executive Policymaker Advocate Student Parent/Guardian

Payment must accompany the Registration form. Non-US registrants--be certain that your fees are paid in US funds drawn on a US bank, bank draft, or credit card. Fees are nonrefundable after October 18, 2019. Make check/money order payable to and return form to NAEYC Annual Conference Registration, c/o CompuSystems, Inc., 2651 Warrenville Road, Suite 400, Downers Grove, IL 60515. Cancellations submitted in writing and mailed to the address above prior to October 18, 2019 will incur a $75 processing charge.

For Annual Conference Registration questions, please contact CompuSystems at 855-326-8340 or 224-563-3120. For other questions, contact NAEYC at 800-424-2460.

For safety reasons, we cannot allow children or strollers into the Exhibit Hall. Attendees 18 and older will be permitted.

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