2024 Conference Registration 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 Events10:00 am - 11:30 am - Selby Gardens Historic Spanish Point-Guided Tour - $ 10.001:00 pm - 3:00 pm - Guided Tour of the Ringling Circus Museum and Grounds - $ 10.001:00 pm - 3:00 pm - Ca' d' Zan additional Ringling Tour - $ 12.001:00 pm - 3:00 pm - New Town Trolley Tours - $ 48.004:00 pm - 6:00 pm - Sip and Scholarship with Dr. Rolando Herts - $ 10.00T-Shirt SizeSMLXLXXLPurchase T-ShirtT-Shirt - $ 20.00Purchase T-ShirtT-Shirt - $ 22.00Early Bird Raffle Tickets30 Raffle Tickets - $ 25.00PreviousNextConference RegistrationRegister for Conference SesionsStandard Registration (includes a 1-year FLCHE membership) - $ 110.00Spouse - $ 90.00Full Time Student - $ 70.00Dietary RestrictionsVegetarianOtherOther dietary restrictionPreviousNextProceed to PaymentUpdating preview…Total$ 0.00PreviousSubmit
