Kentucky Association for Environmental Education · Group Conference Registration

Number of Participants Registering

*

Participant 1 Information

Name

*

First Name

Last Name

Email

*

Verify Email

*

Phone

Affiliation

*

Job Title

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Gender (optional)

The following information is optional and will be used to seek funding through grants and scholarships. We appreciate you taking the time to fill this out.

Race (optional)

County (Work Location)

How did you hear about this event?

*

Email

Web Posting

Direct Mail

Social Media

Other

Age group with whom you work:

If other, please explain:

Approximate number of students/citizens with whom you work:

Conference Information

Registration Type

*

$255 - Two Day Institutional - First Person

$175 - One Day Institutional - First Person

Days Attending

*

Check if applicable:

This is my first KAEE Conference

Vegetarian meals preferred

I am a Certified Professional Environmental Educator

I opt out of the KAEE membership (free with registration)

Please select any optional Thursday Pre-Conference workshop.

*

$25 - Project Underground Training 12:00 - 3:00 pm

$30 - Creative Rain Barrel Workshop 12:00 - 4:00 pm

$0 - Mantle Rock Hike 12:00 - 4:00 pm

$0 - Useful Plants on an 1850 Farm 1:00 - 4:00 pm

$0 - Self Guided Fishing Adventure 1:00 - 4:00

$0 - An Introduction to Canoeing 12:30 - 4:00 pm

$0 - Not attending a Pre-Conference Workshop

Do you plan to attend the Thursday 6:00-8:00 pm Farm to Fork Cookout and Bonfire at the Beach Pavilion?

*

$9 - Yes

$0 - No

Friday Morning Workshop Options

*

Please select one option as your Friday morning workshop (not included in Saturday only registration). All workshops are 8:00 - 11:45 am, unless otherwise noted.

Bird Banding 8:00 - 11:00 am

Workshop FULL - Introduction to Canoeing

Animals, Art & Writing at the Nature Station 8:30 - 11:45 am

Teaching and Communication about Climate Change: Strategies for Success

Using GIS in Your Outdoor Classroom for STEM Engagement

Not attending a Friday morning workshop

In order to help us eliminate waste, please indicate which of the following meals you plan to attend.

*

Friday Lunch

Friday Night Dinner and Entertainment

Saturday Lunch

Pre-order a KAEE stainless steel reusable water bottle.

$14.84 - Yes

Pre-order a KAEE t-shirt (2013):

$19.08 - XS

$19.08 - S

$19.08 - M

$19.08 - L

$19.08 - XL

Would you consider making a donation to the live or silent? If yes, please describe the item below:

Please let us know of any special arrangements you will need at the conference:

Additional Meal Tickets

Would you like to purchase additional meal tickets for guests? If so, please indicate ticket numbers below.

Meal Package (3 meals at $55/person)

$55 - 1 meal package

$110 - 2 meal packages

$165 - 3 meal packages

Friday Lunch ($20 per person)

$20 - 1 Friday lunch

$40 - 2 Friday lunches

$60 - 3 Friday lunches

Friday Dinner ($25 per person)

$25 - 1 Friday lunch

$50 - 2 Friday lunches

$75 - 3 Friday lunches

Saturday Lunch ($25 per person)

$25 - 1 Saturday lunch

$50 - 2 Saturday lunches

$75 - 3 Saturday lunches

Participant 2 Information

Name

*

First Name

Last Name

Email

*

Verify Email

*

Phone

Affiliation

*

Job Title

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Gender (optional)

The following information is optional and will be used to seek funding through grants and scholarships. We appreciate you taking the time to fill this out.

Race (optional)

County (Work Location)

How did you hear about this event?

*

Email

Web Posting

Direct Mail

Social Media

Other

Age group with whom you work:

If other, please explain:

Approximate number of students/citizens with whom you work:

Conference Information

Days Attending

*

Registration Type

*

$135 - Institutional - Two Day - Additional Person

$100 - Institutional - One Day - Additional Person

Check if applicable:

This is my first KAEE Conference

Vegetarian meals preferred

I am a Certified Professional Environmental Educator

I opt out of the KAEE membership (free with registration)

Please select any optional Thursday Pre-Conference workshop.

*

$25 - Project Underground Training 12:00 - 3:00 pm

$30 - Creative Rain Barrel Workshop 12:00 - 4:00 pm

$0 - Mantle Rock Hike 12:00 - 4:00 pm

$0 - Useful Plants on an 1850 Farm 1:00 - 4:00 pm

$0 - Self Guided Fishing Adventure 1:00 - 4:00 pm

$0 - An Introduction to Canoeing 12:30 - 4:00 pm

$0 - Not attending a Pre-Conference Workshop

Do you plan to attend the Thursday 6:00-8:00 pm Farm to Fork Cookout and Bonfire at the Beach Pavilion?

*

$9 - Yes

$0 - No

Friday Morning Workshop Options

*

Please select one option as your Friday morning workshop (not included in Saturday only registration). All workshops are 8:00 - 11:45 am, unless otherwise noted.

Bird Banding 8:00 - 11:00 am

Workshop FULL - Introduction to Canoeing

Animals, Art & Writing at the Nature Station

Teaching and Communication about Climate Change: Strategies for Success

Using GIS in Your Outdoor Classroom for STEM Engagement

Not attending a Friday morning workshop

In order to help us eliminate waste, please indicate which of the following meals you plan to attend. Copy

*

Friday Lunch

Friday Night Dinner and Entertainment

Saturday Lunch

Pre-order a KAEE stainless steel reusable water bottle.

$14.84 - Yes

Pre-order a KAEE t-shirt (2013):

$19.08 - XS

$19.08 - S

$19.08 - M

$19.08 - L

$19.08 - XL

$19.08 - XXL

$19.08 - XXXL

Would you consider making a donation to the live or silent? If yes, please describe the item below:

Please let us know of any special arrangements you will need at the conference:

Additional Meal Tickets

Would you like to purchase additional meal tickets for guests? If so, please indicate ticket numbers below.

Meal Package (3 meals at $55/person)

$55 - 1 meal package

$110 - 2 meal packages

$165 - 3 meal packages

Friday Lunch ($20 per person)

$20 - 1 Friday lunch

$40 - 2 Friday lunches

$60 - 3 Friday lunches

Saturday Lunch ($25 per person)

$25 - 1 Saturday lunch

$50 - 2 Saturday lunches

$75 - 3 Saturday lunches

Friday Dinner ($25 per person)

$25 - 1 Friday lunch

$50 - 2 Friday lunches

$75 - 3 Friday lunches

Participant 3 Information

Name

*

First Name

Last Name

Email

*

Verify Email

*

Phone

Affiliation

*

Job Title

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Gender (optional)

The following information is optional and will be used to seek funding through grants and scholarships. We appreciate you taking the time to fill this out.

Race (optional)

County (Work Location)

How did you hear about this event?

*

Email

Web Posting

Direct Mail

Social Media

Other

Age group with whom you work:

If other, please explain:

Approximate number of students/citizens with whom you work:

Conference Information

Days Attending

*

Registration Type

*

$135 - Institutional - Two Day - Additional Person

$100 - Institutional - One Day - Additional Person

Check if applicable:

This is my first KAEE Conference

Vegetarian meals preferred

I am a Certified Professional Environmental Educator

I opt out of the KAEE membership (free with registration)

Please select any optional Thursday Pre-Conference workshop.

*

$25 - Project Underground Training 12:00 - 3:00 pm

$30 - Creative Rain Barrel Workshop 12:00 - 4:00 pm

$0 - Mantle Rock Hike 12:00 - 4:00 pm

$0 - Useful Plants on an 1850 Farm 1:00 - 4:00 pm

$0 - Self Guided Fishing Adventure 1:00 - 4:00 pm

$0 - An Introduction to Canoeing 12:30 - 4:00 pm

$0 - Not attending a Pre-Conference Workshop

Do you plan to attend the Thursday 6:00-8:00 pm Farm to Fork Cookout and Bonfire at the Beach Pavilion?

*

$9 - Yes

$0 - No

Friday Morning Workshop Options

*

Please select one option as your Friday morning workshop (not included in Saturday only registration). All workshops are 8:00 - 11:45 am, unless otherwise noted.

Bird Banding 8:00 - 11:00 am

Workshop FULL - Introduction to Canoeing

Animals, Art & Writing at the Nature Station

Teaching and Communication about Climate Change: Strategies for Success

Using GIS in Your Outdoor Classroom for STEM Engagement

Not attending a Friday morning workshop

In order to help us eliminate waste, please indicate which of the following meals you plan to attend.

*

Friday Lunch

Friday Night Dinner and Entertainment

Saturday Lunch

Pre-order a KAEE stainless steel reusable water bottle.

$14.84 - Yes

Pre-order a KAEE t-shirt (2013):

$19.08 - XS

$19.08 - S

$19.08 - M

$19.08 - L

$19.08 - XL

$19.08 - XXL

$19.08 - XXXL

Would you consider making a donation to the live or silent? If yes, please describe the item below:

Please let us know of any special arrangements you will need at the conference:

Additional Meal Tickets

Would you like to purchase additional meal tickets for guests? If so, please indicate ticket numbers below.

Meal Package (3 meals at $55/person)

$55 - 1 meal package

$110 - 2 meal packages

$165 - 3 meal packages

Friday Lunch ($20 per person)

$20 - 1 Friday lunch

$40 - 2 Friday lunches

$60 - 3 Friday lunches

Friday Dinner ($25 per person)

$25 - 1 Friday lunch

$50 - 2 Friday lunches

$75 - 3 Friday lunches

Saturday Lunch ($25 per person)

$25 - 1 Saturday lunch

$50 - 2 Saturday lunches

$75 - 3 Saturday lunches

Participant 4 Information

Name

*

First Name

Last Name

Email

*

Verify Email

*

Phone

Affiliation

*

Job Title

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Gender (optional)

The above and following information is optional and will be used to seek funding through grants and scholarships. We appreciate you taking the time to fill this out.

Race (optional)

County (Work Location)

How did you hear about this event?

*

Email

Web Posting

Direct Mail

Social Media

Other

Age group with whom you work:

Approximate number of students/citizens with whom you work:

If other, please explain:

Conference Information

Registration Type

*

$135 - Institutional - Two Day - Additional Person

$100 - Institutional - One Day - Additional Person

Check if applicable

This is my first KAEE Conference

Vegetarian meals preferred

I am a Certified Professional Environmental Educator

I opt out of the KAEE membership (free with registration)

Please select any optional Thursday Pre-Conference workshop. Copy

*

$25 - Project Underground Training 12:00 - 3:00 pm

$30 - Creative Rain Barrel Workshop 12:00 - 4:00 pm

$0 - Mantle Rock Hike 12:00 - 4:00 pm

$0 - Useful Plants on an 1850 Farm 1:00 - 4:00 pm

$0 - Self Guided Fishing Adventure 1:00 - 4:00 pm

$0 - An Introduction to Canoeing 12:30 - 4:00 pm

$0 - Not attending a Pre-Conference Workshop

Do you plan to attend the Thursday 6:00-8:00 pm Farm to Fork Cookout and Bonfire at the Beach Pavilion? Copy

*

$9 - Yes

$0 - No

Friday Morning Workshop Options

*

Please select one option as your Friday morning workshop (not included in Saturday only registration). All workshops are 8:00 - 11:45 am, unless otherwise noted.

Bird Banding 8:00 - 11:00 am

Workshop FULL - Introduction to Canoeing

Animals, Art & Writing at the Nature Station

Teaching and Communication about Climate Change: Strategies for Success

Using GIS in Your Outdoor Classroom for STEM Engagement

Not attending a Friday morning workshop

In order to help us eliminate waste, please indicate which of the following meals you plan to attend.

*

Friday Lunch

Friday Night Dinner and Entertainment

Saturday Lunch

Pre-order a KAEE stainless steel reusable water bottle. Copy

$14.84 - Yes

Pre-order a KAEE t-shirt (2013): Copy

$19.08 - XS

$19.08 - S

$19.08 - M

$19.08 - L

$19.08 - XL

$19.08 - XXL

$19.08 - XXXL

Would you consider making a donation to the live or silent? If yes, please describe the item below:

Please let us know of any special arrangements you will need at the conference:

Additional Meal Tickets

Would you like to purchase additional meal tickets for guests? If so, please indicate ticket numbers below.

Meal Package (3 meals at $55/person) Copy

$55 - 1 meal package

$110 - 2 meal packages

$165 - 3 meal packages

Friday Lunch ($20 per person) Copy

$20 - 1 Friday lunch

$40 - 2 Friday lunches

$60 - 3 Friday lunches

Saturday Lunch ($25 per person) Copy

$25 - 1 Saturday lunch

$50 - 2 Saturday lunches

$75 - 3 Saturday lunches

Friday Dinner ($25 per person) Copy

$25 - 1 Friday lunch

$50 - 2 Friday lunches

$75 - 3 Friday lunches

Group Conference Registration - Pay by Check

Participant 1 Information

Conference Information

Additional Meal Tickets

Participant 2 Information

Conference Information

Additional Meal Tickets

Participant 3 Information

Conference Information

Additional Meal Tickets

Participant 4 Information

Conference Information

Additional Meal Tickets