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 choose an option— $554 – Individual (VASSP Member) $664 – Individual (Nonmember) $554 – Team Leader/Principal (VASSP Member) $530 – Team Assistant Principal (VASSP Member) $590 – Team Assistant Principal (Nonmember) $275 – Individual (VASSP Member) Attending only the School Law Clinic on Tuesday, June 20 $325 – Individual (Non Member) Attending only the School Law Clinic on Tuesday, June 20
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; (3) each individual registering with the principal must complete a separate set of all registration forms; and (4) all team forms must be mailed together to VASSP, along with complete payment (i.e., check or purchase order).
The School Law Clinic on Tuesday, June 20, 2023, 1:00 p.m. to 5:00 p.m. is included in the state conference registration fee and will be held at the The Founders Inn Hotel & Spa. (To attend only the School Law Clinic the registration fee is $200 for VASSP Members and $250 for Nonmembers of VASSP. Call VASSP at 804-355-2777 before May 26, 2023.)
—Please choose an option— YES, I plan to attend the School Law Clinic on Tuesday, June 20. Qualifies for five (5) additional recertification points. NO, I do not plan to attend School Law Clinic
Paying with a purchase order?
Submit a PDF of your purchase order (file size is limited to 5MB) then select SUBMIT, at the bottom of the form.
or
Paying with a credit card?
—Please choose an option— Visa Mastercard
Name on Card
Credit Card Number
Credit Card Billing Address
Expiration Date example 08/2024
CVV
Total Amount Authorized for Credit Card Billing
All cancellations must be made in writing and received in the VASSP office by May 26, 2023. A $75 processing fee will apply to all cancellations, including those paid by purchase order. All refunds will be issued following the 2023 Conference. There will be no refunds after May 26, 2023, as guarantee for space is paid in advance. Substitutions are permissible.
Δ
