Utah Association of Health, Physical Education, Recreation & Dance
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UAHPERD Annual Conference
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UAHPERD 2014 Annual Conference
Registration Form
Name
*
First
Last
LEA or Organizational Affiliation
*
Email Address
*
Re-type Email Address
*
Phone Number
*
-
-
Home Address
*
Line 1
Line 2
City
State
Zip Code
Country
Choose One
*
Male
Female
Which area(s) do you teach or is of most interest?
*
Health
Physical Education
Recreation
Dance
Attendance at conference:
*
UAHPERD 2-Day Full Conference
Elementary "LMIS" Training (Friday only)
Administrator Summit
Are you a licensed teacher?
*
Yes
No
If you are a licensed teacher, what is your CACTUS ID number?
*
If you are a licensed teacher, which type of credit will you like to receive for attending the conference?
*
14 Relicensure Points (2 full days attendance)
1.0 USOE Credit (2 days attendance and required assignment)
1.0 College Credit (2 days attendance, required assignment, and $30.00 fee to be paid at conference)
7.5 Relicensure points (1 day attendance)
No credit
Submit
Don't know your CACTUS ID number?
Find it here.