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    Title

    Full Name

    Position

    First Name for Badge

    School Name

    School Division

    School Address

    City

    State

    Zip

    School Phone

    School Fax

    Cell Phone

    E-mail


    Registration Fee (you must select one)

    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).


    School Law Clinic (you must select one)

    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.)


    Payment Method

    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?

    Name on Card

    Credit Card Number

    Credit Card Billing Address

    Expiration Date example 08/2024

    CVV

    Total Amount Authorized for Credit Card Billing

    Cancellation Policy

    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.

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