July 22-24, 2008, University of Northern Iowa, Cedar Falls

Our Kids Registration

Mail
Our Kids Conference
University Events Coordination
University of Northern Iowa
2304 College Street
Cedar Falls, IA 50614-0030

Fax
319-273-2075

Questions? Call
319-273-5141

Please Register Me

Our Kids Registration - $60.00 (includes lunch (T-Th), dinner (T-W), parking permit and registration fee)

Contact Information

Name
First MI Last

School/College/University:

Home Address :

City:

State:

Zip:

Daytime Phone:

Evening Phone:

Email:

Emergency Contact :

Emergency Phone :

Are you:

Undergraduate Student

Elementary Teacher

Professor

Secondary Teacher

Administrator

William Penn Practicum student

If so what District :

Are you pursuing graduate credit? yes no

If yes, what institution will you register for on-site graduate credit?

Drake University

University of Northern Iowa

Morningside College

William Penn University

Other

Are you part of Power Up

Part of Power Up as an Administrator

Department of Education

Teacher Quality Grant as a Teacher Educator

Other

Teacher Quality Grant as a Teacher Candidate

What Area Education Agency are you part of?

Have you ever attended the Life in a Second Language Simulation in the past?

Payment Information

Submitting payment: We will send you an invoice with your confirmation letter.

Please bill my school via:

P.O. Requisition #

Check or Credit Card

Please bill me direct.

Check or credit card
Note: For security purposes, we will request specific credit card information on your invoice.

Cancellation
If registration is cancelled prior to July 6 a full refund will be initiated. After July 6, no refunds will be granted. You (or your school/organization) are responsible for full payment of the registration fee regardless of your attendance at the conference. Substitutions for your registration are always welcome..

For More Information

Questions
(319) 273-5141
Fax: (319) 273-2075

Registration
University Events Coordination
University of Northern Iowa
2304 College Street
Cedar Falls, IA 50614-0030