Iowa IAHPERD

2019 Fall IAHPERD Workshop(s) Registration Form

There are two awesome IAHPERD Fall Workshops to choose from!!

October 13- Fall workshop at Lakewood Elementary, Norwalk. 1-4pm.

$10 for members, free for college students.

9210 Happy Hollow Dr, Norwalk, IA 50211

October 20- Fall workshop at Grant Elementary in North Liberty. 1-4pm.

$10 for members, free for college students.

1000 Centro Way, North Liberty, IA 52317

**Workshops are FREE to students and first year teachers**

Must be a member of IAHPERD to attend.

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip Code *

Phone *

Email Address (that you would like to be contacted by) *

Please select your level. *

Student

Professional

Retired

Students - College/University that you are attending

Professionals - Please select your teaching level.

Professionals - School District you are affiliated with. (Adair- Casey to Prairie Valley Community School Districts)

Professionals - School District you are affiliated with. (Red Oak to Woodward-Granger Community Schools)

What do you teach?

Round table discussion ideas *

Which workshop are you registering for? *

October 13- Lakewood Elementary, Norwalk.

October 20- Grant Elementary in North Liberty

Are you an IAHPERD member??

You must be to attend the workshop. IAHPERD Membership webpage

Workshop Registration-- Please note... no refunds will be given. *

Student or First year teacher Free!!

IAHPERD Member ($10.00 before 10/11/2019)

Walk up registration $15.00

I will be attending both workshops ($20 before 10/11/2019)

Current Total:

$0.00

Required *

I have made sure that all information is current and correct.

Elementary	Middle School	High School	K-12
College/University	Community Agency	Other

Physical Education	Health	Adaptive Physical Education
College Level	Other