Information

If paying by check, please go to our website www.toea.org, print and fill out the registration form and mail it to Sally McAfee at 192 Ward Ln. Trinity, TX 75862  
First Name *
 
Last Name *
 
Street Address *
 
Address Line 2
 
City *
 
State *
 
Zip Code *
 
Preferred Phone Number *
 
Email Address (Personal/NonWork to insure delivery of Newsletter)
 
School/Organization
 
Teaching Area/Grade Level
 
Are you a presenter at the workshop? *
 Yes
 No
Are you seeking TEEAC credit? *
 Yes
 No
How did you learn about TOEA? *
 

Lodging and Roommate Requests

Please check the following for correct room assignments. *
 Male
 Female
Preferred Roommate Request (Same Sex) must be indicated on this form, but there is no guarantee. *
 
In Case of Emergency, please provide contact, contact number and relationship: *
 
Do you have any medical conditions that our staff should be aware of? If so, please briefly describe: *
 

Payment Information

PLEASE NOTE, FAILURE TO SELECT A PAYMENT OPTION FOR THE WORKSHOP WILL RESULT IN YOUR NOT BEING REGISTERED FOR THE WORKSHOP.REGISTRATION FEE INFO: The workshop fee includes two nights lodging, 6 meals beginning with Friday night through Sunday noon, as well as TOEA dues and newsletters for one full year. Please select one or more of the following items. Workshop fee is $140. Professional dues is $20.00 and student dues is $10.00. Past presidents owe no dues fees. *
 TOEA Professional Dues + Workshop ($160)
 TOEA Student Dues + Workshop ($150)
 TOEA Past President Workshop ($140)
 TOEA Professional Dues (No Workshop) $20
 TOEA Student Dues (No Workshop) $10
 TOEA Workshop Officer (Choose for Info)
Less Presenter Discount (-$25 per regular session, $50 per major session, $100 max discount; only one presenter may use the discount for a session or the discount may be shared) PLEASE ONLY CHOOSE ONE
 One Regular Session (-25)
 Two Regular Sessions (-50)
 Three Regular Sessions (-75)
 Four Regular Sessions (-100)
 One Major Session (-50)
 Two Major Sessions (-100)
Pre-order T-shirts (Order by Sept. 1st to guarantee size)....$12 each and $14 for XXL & XXXL. (On site workshop prices will be $15 for XS-XL and $17 for XXL & XXXL.)
 Small-$12.00
 Medium-$12.00
 Large-$12.00
 X-Large-$12.00
 XX-Large-$14.00
 XXX-Large-$14.00
If you wish to contribute to the Mert Bishop Scholarship Fund, please enter the amount you would like to donate. Donations go towards an annual scholarship for a workshop attendee. Thank you.