Personal Information
First Name:
Last Name:
Email:
Address
City:
State:
Alabama
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Hawaii
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Not in United States or Canada
Postal Code:
Country:
United States
Canada
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Not Listed
Phone:
School Address:
School Phone:
Language taught:
Language
German
Spanish
French
English
Japanese
Chinese
Bilingual Education
Other
Language taught if other than those listed above:
I would prefer a vegetarian lunch option
Yes
No
What's your teaching/experience level with TPRS® ?:
Beginning TPRSer
(Need
Beginner sessions)
Experienced/ Advanced TPRSer
(Seeking Beyond-Beginner Sessions)
Would you like to be a mentor to a new teacher?
Yes
No
Would you like to be a mentee and be partnered with an experienced TPRS® teacher?
Yes
No
What language would you like to learn at NTPRS® ? (Fluency Fast classes in the following languages are included in your registration):
Would you like to attend a pre-conference training workshop for presenters on Monday, July 10?
Yes
No
(Pre-conference: $100, Please indicate when completing payment portion of registration)
Immersion Dinner
Immersion dinners are held in the evenings. Traditionally, we have about 50%-80% of our attendees participate in our immersion experiences. They are held on different nights so that teachers can participate in up to two dinners. Teachers agree to speak only in the target language for the whole evening. Beverages not included.
Would you like to attend an immersion dinner?
Yes
No
(Immersion Dinners: $15-$25, please select when completing payment portion of registration)
What Languages? (Pick one or two, please)
(NTPRS® does not keep any of the money for immersion dinners. This reservation is our estimate of dinner prices and represents a credit at the restaurant. Once you make a reservation, it is non-refundable. Beverages are not included in the dinner price. The French dinner will take place in Quebec, so we are making transportation arrangements.)
Informal Special Interest Group meetings meet during lunches and between sessions.
Select Special Interest Group(s) you would be interested in attending:
If "Other", please suggest a S.I.G. you would be interested in:
Would you be interested in having your child attend "Fluency Fast for Kids" during NTPRS® ? ($250 registration fee)
(French class initiation will be based on number of interested parents.)
How many kids
:
Ages:
Spanish
French
How do you want your name tag to read?
Name:
State:
Language:
Volunteer Information
Would you like to be a volunteer at NTPRS® ?:
Yes
No
($50 scholarship for volunteers)
Please indicate the committee you would like to volunteer for?:
Committee
Hospitality
VIPs
AV/Tech
Program
Session Hosts
Immersion Dinners
Entertainment
Answer only if paying by Purchase Order. Otherwise skip to "Submit."
Purchase Order Number
School billing address
School City and State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
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
Washington DC
Alberta
British Columbia
Manitoba
Nanavut
New Brunswick
New Foundland
Northwest Territories
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Not in US or Canada
School zip:
School Phone:
School contact person
Name or names of people being paid for with this PO
I understand that I am responsible for printing and submitting my automatic receipts to the business office so that PO payment can be made
Yes
No