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

First Name

Last Name

First and Last Name

Email Address

Phone

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  
 Presenter  
 National Board Certified  

School System when applicable

How many years have you been teaching?
== choose one == 0-3 4-6 7-10 11-15 16-20 20-25 26 or more Not Applicable

What is your annual instructional teaching budget?
== choose one == 0-$250 $251-$500 $501-$750 $751-$1500 $1501+ Not Applicable

How many days a week do your students receive physical education?
== choose one == 1 day or less 2 days 3 days 4 days 5 days Not Applicable

What is your average PE class size?
== choose one == Less than 30 31-40 41-50 51+ Not Applicable

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