2019 NCAAHPERD-SM Convention, Benton Convention Center, Winston-Salem

Professional Non-Member $175.00
Late Fee

For the best results, please respond to all registration items. You may respond "NA" to any items that are not applicable to you.

Are you a current member of NCAAHPERD-SM?
 Yes    No

Check all that apply to the attendee.
 First attending an NCAAHPERD-SM Convention  
 College Student  
 Interested in Health.Moves.Minds Fundraiser  
 Interested in PACES-Color My Walk Fundraiser  
 Award Winner  
 National Board Certified  

Office use only: