2023 FLCHE Conference Registration Form Please enable JavaScript in your browser to complete this form.1234Participant Contact InfoTitleDr.Mr.Mrs.Ms.Name *FirstLastJob TitleInstitution or OrganizationInstutition or Organization AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeIf you are an educator, what level of students do you work with primarily?K-56-89-12K-12Post SecondaryN/AEmail *Phone *Personal Mailing Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNextPre-Conference Events and Add-OnsPre-Conference Events9:00 am – 10:30 am – Ponce de Leon’s Fountain of Youth Archaeological Park – $ 15.001:00 pm – 2:00 pm – Guided Tour of the Ximenez-Fatio House Museum – $ 8.001:00 pm – 2:00 pm – Guided Tour of the Lincolnville Museum & Cultural Center – $ 12.007:00 pm – 8:30 pm – Sip and Scholarship with Dr. Kimberly Voss – $ 10.00T-Shirt SizeSMLXLXXLPurchase T-ShirtT-Shirt – $ 20.00Purchase T-ShirtT-Shirt – $ 22.00Early Bird Raffle Tickets30 tickets – $ 25.00PreviousNextConference RegistrationRegister for Conference SesionsStandard Registration (includes a 1-year FLCHE membership) – $ 85.00Spouse – $ 65.00Full Time Student – $ 65.00Pre-pay for Parking Parking – $ 13.00Dietary RestrictionsVegetarianOtherOther dietary restrictionPreviousNextProceed to PaymentUpdating preview…Total$ 0.00PreviousSubmit
