2018 NSDA National Conference Registration Sign up to attend our conference July 28-31, 2018, in Phoenix, Arizona. NSDA members, you must be logged in before completing this form to receive the member rate. Early Bird registration ends March 5, 2018! Your Name* First Last Your Email* School/Organization*State*--Select One--AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificOtherAre you an NSDA member?*YesNoNSDA District*--Select One--Deep South (AL)Arkansas (AR)Arizona (AZ)Big Valley (CA)Calif. Coast (CA)Capitol Valley (CA)East Los Angeles (CA)San Fran Bay (CA)Sierra (CA)Southern California (CA)West Los Angeles (CA)Colorado (CO)Colorado Grande (CO)Rocky Mountain - North (CO)Rocky Mountain - South (CO)Western Slope (CO)Florida Manatee (FL)Florida Oceanfront (FL)Florida Panther (FL)Florida Sunshine (FL)South Florida (FL)Georgia Northern Mountain (GA)Georgia Southern Peach (GA)Hawaii (HI)East Iowa (IA)West Iowa (IA)Idaho Gem of the Mountain (ID)Idaho Mountain River (ID)Inland Empire (ID)Greater Illinois (IL)Illini (IL)Northern Illinois (IL)Hoosier Crossroads (IN)Hoosier Heartland (IN)Northeast Indiana (IN)Northwest Indiana (IN)East Kansas (KS)Kansas Flint-Hills (KS)South Kansas (KS)Sunflower (KS)Three Trails (KS)West Kansas (KS)Kentucky (KY)Louisiana (LA)New England (MA)Chesapeake (MD)Maine (ME)Michigan (MI)Central Minnesota (MN)Northern Lights (MN)Southern Minnesota (MN)Carver-Truman (MO)Eastern Missouri (MO)Heart of America (MO)Ozark (MO)Show Me (MO)Magnolia (MS)Montana (MT)Carolina West (NC)Tarheel East (NC)North Dakota Roughrider (ND)Nebraska (NE)Nebraska South (NE)New Jersey (NJ)New Mexico (NM)Golden Desert (NV)Sagebrush (NV)Long Island (NY)New York City (NY)New York State (NY)Eastern Ohio (OH)North Coast (OH)Northern Ohio (OH)Western Ohio (OH)East Oklahoma (OK)West Oklahoma (OK)North Oregon (OR)South Oregon (OR)Iroquois (PA)Pennsylvania (PA)Pittsburgh (PA)Valley Forge (PA)South Carolina (SC)Northern South Dakota (SD)Rushmore (SD)Tennessee (TN)Pacific Islands (TW)Central Texas (TX)East Texas (TX)Gulf Coast (TX)Heart of Texas (TX)LBJ (TX)Lone Star (TX)North Texas Longhorns (TX)South Texas (TX)Space City (TX)Tall Cotton (TX)UIL (TX)West Texas (TX)Yellow Rose (TX)Great Salt Lake (UT)Sundance (UT)Utah - Wasatch (UT)Virginia (VA)Puget Sound (WA)Western Washington (WA)Northern Wisconsin (WI)Southern Wisconsin (WI)West Virginia (WV)Hole in the Wall (WY)Wind River (WY)OtherAre you a district leader?*If you currently serve as district chair, or are a member of your District Committee, please mark "Yes" below.YesNoAre you a classroom teacher?*YesNoYears of Teaching Experience*0-1 year2-3 years4-6 years7-9 years10+ yearsPlease select your t-shirt size.*SMLXL2XL3XLPlease list any dietary restrictions you may have.We will do our best to accommodate your needs!How did you first learn about this conference?*WebsiteSocial MediaEmail NewsletterTeacher/CoachOtherIf you selected "Other" above, please specify.*Are you interested in serving as a volunteer at the conference?*At certain points during the conference, volunteers may be asked to assist staff with handing out meals, taking notes, or other light duties as assigned.YesNoWill you be staying at the Pointe Hilton Tapatio Cliffs Resort?*To book your room by July 7, 2018, click here.YesNoMember Registration Fee Price: $249.00 Non-Member Registration Fee Price: $349.00 Coupon Code Member 3% Processing Fee Price: $0.00 Non-Member 3% Processing Fee Price: $0.00 Total $0.00 Payment Method*Note: A 3% processing fee will be added for credit card payments.Check/Purchase OrderCredit CardCredit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name Billing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Day Phone*Please list the best number to reach you in case we have questions regarding your conference registration and/or payment.