Leadership Conference May 2009

Utah PTA Leadership Convention
May 14 - 15, 2009

THIS SITE IS NO LONGER ACCEPTING REGISTRATIONS!!! (REGISTRATION CLOSED APRIL 27, 2009 AT 10:00 a.m.)

WE WILL NOT ACCEPT FURTHER REGISTRATIONS. IF YOU REGISTER USING THIS SITE, YOU WILL HAVE TO GO TO ONSITE REGISTRATIONS AT BYU. YOU WILL BE REQUIRED TO GO THROUGH THE ONSITE REGISTRATION PROCESS AND PULL YOUR CLASSES TICKET AT BYU.

You must use a personal credit card to pay for your registration.
Please make a copy of your receipt for reimbursement from your PTA.

* First Name

* Last Name

* Street Address

Address Line 2

* City

* State

* Zip Code

* Phone Number

* Email Address

* I am an Emerging Minority Leaders Attendee (If yes, name of your EML Mentor)
See March/April 2009 Perspectives, page 8

No

Yes

* Name of PTA

* Region

* PTA Position

* Indicates Response Required

Region 1	Region 2	Region 3
Region 4	Region 5	Region 6
Region 7	Region 8	Region 9
Region 10	Region 11	Region 12
Region 13	Region 14	Region 15
Region 16	Region 17	Region 18
Region 19	Region 20	Don't Know

President	President Elect
Council President	Legislative
Leadership	Membership
Public Relations	Treasurer
Secretary	Awards
Emerging Minority Leader	Community Involvement
Education	Family Life
Health and Saftey	Individual Development - Reflections
Student Involvement	Other