2019 NSDA National Conference Registration

Your Name*

First Last

Your Email*

School/Organization*

State*

Are you an NSDA member?*

Yes
No

NSDA District*

Are you a district leader?*

If you currently serve as district chair, or are a member of your District Committee, please mark "Yes" below.

Yes
No

Are you a classroom teacher?*

Yes
No

Years of Teaching Experience*

Please list any dietary restrictions you may have.

We will do our best to accommodate your needs!

How did you first learn about this conference?*

If 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.

Yes
No

Would you like to upgrade your registration to view select sessions of the conference online?*

Your virtual pass will include livestream coverage and video recordings.

Yes, sign me up (a $99 value)
No, I am not interested

Payment Method

Note: A 3% processing fee will be added for credit card payments.

Check/Purchase Order
Credit Card

Check/Purchase Order Number*

If you select Check/Purchase Order as your payment method, we must receive complete payment by January 7, 2019. Any payments received past this deadline will be subject to a late registration fee of $50.00. Purchase orders are a promise to pay; your registration is not considered paid until actual funds are received.

Member Registration Fee

($349 regular price—you save $100!)

Price: $249.00

Non-Member Registration Fee

($399 regular price—you save $100!)

Price: $299.00

Virtual Access Fee

Price: $99.00

3% Processing Fee

Price: $0.00

Total

$0.00

Coupon Code

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Billing Address*

Street Address Address Line 2 City 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.