2018 MIAAA Athletic Administrator Annual Conference Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Athletic Administrator registration form - you need to print the form before you hit submit - use your print button - Mac is command P - window is control P -

First Name *

Last Name *

Certification *

CMAA, CAA, RAA, RMSAA

CMAA

CAA

RAA

RMSAA

Not applicable

Email Address *

please be diligent about entering this information

School Name *

this will be used on your conference name badge

Guest/Spouse Name - participating in Spouse Activities

spouse or other guest attending conference - name badge included with registration - cost $80

Guest/Spouse Name - not participating in spouse activities

need name badge for person who wants to go through vendor/exhibit area only - extra cost $10

Registration Fee *

payment is due when registration form is sent

$180 - AD registration - conference gift, banquet ticket, name badge -

$85 - Spouse registration - banquet ticket, spouse activities & memento, name badge

$60 - extra banquet ticket

$25 - Life Member - banquet ticket

$10 - name badge for someone not registered as conference attendee or spouse/guest

Required

Banquet Attendance *

please indicate whether you will be attending the banquet - this is for planning purposes only (you may change your mind)

yes

not sure at this time

If your spouse/guest is attending the conference - are they going to attend the banquet?

we are looking for this information to assist with count for the meal

yes

not sure

Clear selection

Are you a first time attendee to the Annual Conference? *

Yes

All checks & registration forms are to be sent to George Lovich - 44142 Parkside, Canton, MI 48187 - MAKE SURE YOU PRINT THE FORM !!

Make check to : MIAAA

DIRECTIONS FOR PRINTING THE FORM -

Mac Users - command P - Window User - control P

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms