Jostens RENAISSANCE
Mid-Atlantic Collaborative

Conference Registration | Wooohooo!

2nd Annual Mid-Atlantic Jostens Renaissance Spring Leadership Conference

Friday, March 21, 2014 | 8:00 AM-2:00 PM
Musselman High School, WV
Get ready for the time of your life with our 2nd Annual Mid-Atlantic Jostens Renaissance Collaborative Spring Leadership Conference!

The event will take place on Friday, March 21, 2014 from 8:00 AM-2:00 PM at Musselman High School.  

Musselman High School is located at:
126 Excellence Way
Inwood, WV 25428

A continental breakfast, lunch, and all conference materials will be provided.

Important Information:
  1. Our conference will be held at Musselman High School, located at 126 Excellence Way, Inwood, WV 25428.
  2. You may only register online using the Conference Registration Form below.
  3. Adults as well as students are invited to this conference!
  4. There is a fee of $150.00 for up to the first 10 participants in your group.  Any additional participants after 10, will be an additional $15.00 charge per participant.
  5. You will have the option to pay online with a credit or debit card (displaying a major credit card company) after you complete the registration form below or you can mail a check, cash, or money order to North Stafford High School, Attn. Thomas Nichols, 839 Garrisonville Road, Stafford, VA 22554.  Checks may be made payable to JR-MAC NSHS.  
  6. If you are paying by check, cash, or money order, mail the payment to:  North Stafford High School, Attn. Thomas Nichols, 839 Garrisonville Road, Stafford, VA 22554
  7. This registration form must be completed and submitted no later than Friday, February 28, 2014.
  8. If you would like for your school to present, you have the option to indicate this in the registration form.
Questions about this Conference?  We Have Leaders Who Can Help.
Contact Thomas Nichols, Principal of North Stafford High School (VA); Cliff Conway, Principal of King George High School (VA); or Holly Branch, Teacher at Musselman High School (WV).

Conference Registration Form
Due by Friday, February 28, 2014

Please complete the registration form below to get your school registered, along with your participants registered.

(*) Indicates Required Information

School Contact Information
School Name:*

School Address:*
 
City:*
 Zip Code:*

Adult Participant Information 
At least one (1) adult is required to attend.
Name (first and last): E-mail Address: T-Shirt Size:
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Additional Adult Names
(first and last):
Additional Adult E-mail Addresses:
Additional Adult T-Shirt Sizes:
When adding additional adult participant information, add only one participant's information per row.  Click "Enter" to move to an additional row.  Participant information will match going across the columns.
     
Student Participant Information 
Name (first and last):  T-Shirt Size:
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Additional Student Names
(first and last): 
Additional Student T-Shirt Sizes:
When adding additional student participant information, add only one participant's information per row.  Click "Enter" to move to an additional row.  Participant information will match going across the columns.

 
 Presenting at the Conference (optional)
 Yes, we want to present at the conference!
We will be presenting (select one):
You're almost done!  Review your registration form, ensuring that all information is correct.
After clicking "Register Now!," you will proceed to our confirmation page where you can select to pay online, if you choose.

Click "Register Now!" only once to avoid multiple registrations. 
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