Savannah, Georgia October 25 - 28, 2017
honoring the past, shaping the future
PRE-REGISTRATION FORM(please print or type)
Name: ______
Position: ______Please Check Appropriate Boxes:
School: ______AffiliationPositionRegion
Work Address: ______ University Teacher SBEA
City/State/ZIP: ______ Middle/Jr. High Administrator EBEA
Work Phone: ______ Secondary Supervisor NCBEA
Home Address: ______ Jr./Comm. Clg. Retired MPBEA
City/State/ZIP: ______ 4-Yr. Clg./Univ. Student WBEA
Home Phone: ______ State DOE Other:
Email: ______ Supervisor
Are you a first-time attendee? ______Yes ______No
Pre-Registration must be postmarked by October 2, 2017,or a $50 LATE FEE will be assessed.NO REFUNDS after October 2, 2017. Onsite registration will be $290 for members and $390 for nonmembers. Refunds (less a $30 processing fee) will be made available for pre-registration and technology workshops if cancellation is postmarked by October 2, 2017.Indicate the type of registration and the desired functions. Enclose FULL payment!Registration received without payment will be returned. Registration packets will be available upon arrival at the convention for participants who have pre-registered. *If you are not a member of NBEA, dues must be paid with convention registration or the non-member fee will apply.
NOTE: Special assistance for individuals with disabilities can be arranged. Please attach requirements to this form.
Will you be staying at the convention hotel? Please Choose: Yes No
Will you be parking a car in the hotel parking lot? $25 per night Please Choose: Yes No
NBEA Membership Dues * / Price / Amount
Professional Member / $ 90.00
Professional Member/ISBE / $ 125.00
Full-time Student / $ 50.00
Convention Registration
Pre-Registration Fee (NBEA Member Number:______) / $ 240.00
Non-Member Pre-Registration Fee / $ 335.00
Full-time Student (NBEA Member Number:______) / $ 160.00
Retired (NBEA Member Number:______) / $ 160.00
Guest: Name for Badge ______/ $ 160.00
Technology Workshops ($30 first workshop/$15 each additional workshop)
Wednesday, October 25
(4:00 - 6:00) “C” It Here First! (Video Game Design) 1-A_____
(4:00 - 6:00) Just a Click Away (Digital Portfolios) 1-B____ / $30/$15
Thursday, October 26
(2:15 - 4:15) Don’t Put All Your Eggs in One Basket (Free Apps and Social Media) 2-A _____
(4:00 - 6:00) Catch the Coding Bug (Coding at the Middle School Level) 2-B _____
(4:30 - 6:30) La LaLicious: Singing Your Way Through Social Media (Using Video) 2-C _____ / $30/$15
$30/$15
$30/$15
Friday, October 27
(1:30 – 3:30) Catch it if You Can (New Ideas, New Technologies) 3-A _____
(1:30 – 3:30) Inside the Adobe Hut (Using Adobe Productivity Tools) 3-B _____ / $30/$15
$30/$15
Saturday, October 28 (9:00 – 11:00)
(9:00 – 11:00) One Stop Shop… We have the App for That! (Microsoft Classroom)4-A _____
(9:00 – 11:00)1-2-3 – Go Live! (Designing Online Courses) 4-B _____ / $30/$15
W!SE Financial Literacy Teacher Certification
Saturday, October 28 (9:00 – 11:00 a.m.) / $ 50.00
Late Fee if not postmarked by October 2, 2017 / $ 50.00
TOTAL AMOUNT ENCLOSED
MAKE CHECK PAYABLE TO SBEA AND POSTMARKED BY October 2,2017 MAILTO:
Mrs. Janet Kreider, Treasurer 1124 Belvoir Lane, Virginia Beach, VA 23464
Win a FREE Tablet! We have AWESOME Technology Workshops available this year. We are offering “Buy One Get One Half Off” Prices: $30 for the first Technology Workshopand $15 for each additional workshop. For each Technology Workshop you register for, your name will be entered into a drawing for a FREE Tablet!