2018 NAEYC Annual Conference Registration form …

2018 NAEYC Annual Conference Registration form Washington, DC November 14-17

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* One-Day Member

Early Bird (Ends Sept. 7)

q$295 q$450 q$205

Regular (Sept. 8-Oct. 12)

q$325 q$480 q$235

After

Oct. 12

q$385

If you are registering at the NAEYC member rate (applicable for

q$540

standard and premium levels only), provide your valid/current NAEYC Membership ID # ________________________

q$295

One-Day Nonmember*

q$335

q$365 q$425

For One-Day registration, please indicate day__________________

*Includes complimentary entry level NAEYC membership

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

Separate-Fee Workshops--Tuesday, November 13

Workshop descriptions can be found at

NAEYC's Early Learning Programs Accreditation Updated Process; 8:30 am?4:00 pm

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

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

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

Connecting Strengths-Based Powerful Interactions to Teaching and Learning; 8:30 am?4:00 pm

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

Making, Tinkering, and Engineering in Early Childhood; 8:30 am?3:00 pm

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

Supporting Children with Disabilities in the Classroom; 8:30 am?3:00 pm

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

FREE WORKSHOP (space is limited):

q Advocacy and Action for a Unified Early Childhood Education

Profession: Next Steps for Power to the Profession; 9:00 am?4:00 pm

Workshop 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 2018 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 Washington, DC? 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 12, 2018. 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 12, 2018 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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