Title
—Please choose an option—Dr.Mr.Mrs.Ms.
Full Name
Position
First Name for Badge
School Name
School Division
School Address
City
State
Zip
School Phone
School Fax
Cell Phone
E-mail
Please note that TEAM DISCOUNTS are being offered again this year. In order to qualify for a team discount (1) the team leader (i.e., the school principal) must be a current member of VASSP; (2) each member of the team must be from the same school and each individual registering with the principal must complete a separate registration form.
—Please choose an option—$645 – Individual (Nonmember)$540 - Individual (VASSP Member)$540 -Team Leader/Principal (VASSP Member)$515 -Team Assistant Principal (VASSP Member)$575 -Team Assistant Principal or Lead Teacher (Nonmember)$200 - Individual (Non Member) Attending only the Office of Juvenile Justice and Delinquency Prevention Workshop on June 27$175 - Individual (VASSP Member) Attending only the Office of Juvenile Justice and Delinquency Prevention Workshop on June 27$200 - Individual (Non Member) Attending only the the School Law Clinic on June 27$175 - Individual (VASSP Member) Attending only the School Law Clinic on June 27
The Office of Juvenile Justice and Delinquency Prevention Workshop on June 27, 2022, is included in the state conference registration fee and will be held at the Hilton Richmond Hotel & Spa / Short Pump, Richmond, Virginia. (To attend only the Office of Juvenile Justice and Delinquency Prevention the registration fee is $175 for VASSP Members and $200 for Nonmembers of VASSP. Call VASSP at 804-355-2777 to register only for the Office of Juvenile Justice and Delinquency Prevention Workshop.)
The School Law Clinic on June 27, 2022, is included in the state conference registration fee and will be held at the Hilton Richmond Hotel & Spa / Short Pump, Richmond, Virginia. (To attend only the School Law Clinic the registration fee is $175 for VASSP Members and $200 for Nonmembers of VASSP. Call VASSP at 804-355-2777 before May 31, 2022, to register only for the School Law Clinic School Law Clinic,)
—Please choose an option—YES, I plan to attend the School Law Clinic. Qualifies for five (5) additional recertification points.YES, I plan to attend the Office of Juvenile Justice and Delinquency PreventionNO, I do not plan to attend School Law Clinic or the Office of Juvenile Justice and Delinquency Prevention
Paying with a purchase order?
Submit a PDF of your purchase order (file size is limited to 3MB) then select SUBMIT, at the bottom of the form.
or
Paying with a credit card?
—Please choose an option—VisaMastercard
Name on Card
Credit Card Number
Credit Card Billing Address
Expiration Date example 08/2024
Total Amount Authorized for Credit Card Billing
All conference registration cancellations must be in writing and received in the VASSP office at 4909 Cutshaw Ave., Richmond, VA 23230, by May 31, 2022. A $75 administrative fee will apply to all cancellations, including those paid by purchase order.
Registrants canceling after May 31, 2022, will not receive a refund. Subsitutions are permissible. The refund and cancellation policy will not be waived. All refunds will be issued following the 2022 Conference.
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