2024 GAHPERD Convention Onsite Registration

The Classic Center

300 N. Thomas Street, Athens, GA 30601

November 10-12, 2024 (Sunday-Tuesday)

If you work or teach in Georgia, you must be a member to attend the Convention. You will be asked for payment after submitting this form. Registration is not complete until payment has been made.

Name (as you would like it to appear on badge) *

School System/College/University/Other *

Work/School Mailing Address (Street, City, State, Zip Code) *

Home Address (Street, City, State, Zip Code) *

Email Address *

Work Phone *

Fax Number

Home Phone

Cell Number *

Employment Classification (select one) *

Division (select one) *

Dance

General

Health

Physical Education

Sections (select two) *

Registration Type: *

Membership Fees (if membership is not current):

Professional (includes grad students) 1 Year ($35.00)

Professional (includes grad students) 2 Years ($55.00)

Professional (includes grad students) 3 Years ($75.00)

Retired 1 Year ($25.00)

Future Professional (undergraduate student) ($15.00)

I am voluntarily participating in this conference. I understand that there are risks associated with my participation in this conference, such as injury. These injuries or outcomes may arise from my own or other’s actions, inactions, or negligence. Nonetheless, I assume all risks of my participation in this conference, whether known or unknown to me, including travel to and from the conference or any events incidental to this conference. *

I understand the risks.

Elementary	Middle School	Secondary
Two-Year College	College/University	City/County Administrator
Other Other

Adapted PE	College/Universtiy
Sport Management	NAGWS/Men's Athletics
Recreation	Future Professionals (students select here)
Exercise Science	Elementary PE
Middle School PE	Secondary PE