First Name:*

MI:

Last Name:*

Name as it should appear on name tag:

Institution/Organization:*

Strength & Conditioning Position:*

Head     Assistant     Student/Intern/GA

Mailing Address:

Home     Work

Street:*

Street 2:

City:*

State:*

Zip:*

Work Phone:*

Cell Phone:

Fax:

Email:

Clothing Sizes:

Warm-ups:	Gender Women's Men's	Size S M L XL XXL XXXL XXXXL
Athletic T-shirt:	All Adult Sizes	Size S M L XL XXL XXXL XXXXL
Athletic Shorts:	Gender Women's Men's	Size S M L XL XXL XXXL XXXXL
Golf Shirt/Sweater:	Gender Women's Men's	Size S M L XL XXL XXXL XXXXL
Golf Shorts/Slacks:	Gender Women's Men's	Waist: Length:
Jacket (Outerwear):	Gender Women's Men's	Size S M L XL XXL XXXL XXXXL

Note: This information is utilized for the distribution of conference gifts. There is no obligation to purchase anything.

Conference Registration Fees:

(Includes admittance to all sessions on both days of the conference, as well as admittance into the exhibit area)

	Fees
Full-time Members:	$200.00
Students/Emeritus Members:	$150.00

NOTE: It is extremely important that you stay at the designated hotel where the conference is being held because the quoted rates are based upon the number of rooms reserved and also include the fee for the use of all conference facilities.