WACA Conference Registration w/ Purchase Order
Name
*
School
*
School Address
Street Address
Address continued
City
State
Please select...
Please select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Zip
Phone #:
*
*
E-mail Address
*
WACA Area
*
Area 1 (Island, Whatcom, San Juan, Snohomish)
Area 2 (King)
Area 3 (Pierce)
Area 4 (Pacific, Lewis, Wahkiakum, Cowlitz, Clark, Skamania)
Area 5 (Okanagan, Chelan, Douglas, Grant, Kittitas)
Area 6 (Yakima, Klickitat)
Area 7 (Spokane, Ferry, Stevens, Pend Oreille, Lincoln)
Area 8 (Adams, Benton, Franklin, Walla Walla, Columbia, Garfield, Whitman, Asotin)
Area 9 (Kitsap, Clallam, Jefferson, Grays Harbor, Mason, Thurston)
WACA areas are divided by county. If you do not know your area, find your county.
Is this your first WACA conference?
*
yes
no
# of years attended
*
Grade level you work with
*
high school
middle level
elementary
Please select ALL that apply to you
*
activities coordinator
leadership teacher
ASB adviser
class/club adviser
cheer coach/adviser
coach
ASB secretary/bookkeeper
administrator/athletic director
Optional Pre-Conference Session
*
No, I am not attending the pre-conference
ASB Law (Marty Fortin)
Leadership Education (Susan Fortin)
Please indicate your preference about the Pre-Conference session. The Pre-Conference cost is $30.
Conference Registration (Choose one)
*
Conference only--$275
Conference & Pre-conf--$305
Purchase Order Information
Purchase Order Type
*
Building PO
District Office PO
Building or District Issuing PO
*
Building or District Address (including ZIP code)
*
Building or District Phone #:
*
*
Purchase Order Number
*
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