All fields marked (*) are required. It is important that you complete the entire form before submitting.

Delegate Information:

Delegate First Name: *

Delegate Last Name: *

Delegate Type: * Select Type Student Adult

Delegate Gender: * Select Gender Male Female

Delegate T-shirt Size: * Select Shirt Size Small Medium Large Extra Large 2X Extra Large If registering after 10-1-06, cannot guarantee your choice of size

What dietary/health needs do you want us to address in our food choices? Choose all that apply.
Nothing Special	Vegetarian	Low Salt	Low Fat
Other health needs?

Advisor Information:

If you are an attending advisor, you must list yourself as a delegate in the fields above AND enter your name in the advisor fields below. It is the responsibility of advisors to review the AASG Code of Conduct at (www.aasg.org) with all delegates prior to the conference, and to have in hand health insurance information for each delegate. AASG will not collect these forms. An advisor must register delegates in person at the conference.

Name of the advisor attending with you delegates.
Advisor First Name: *	Advisor Last Name: *

Advisor Email Address: *

Advisor Home Phone: *

School Information:

School Name: *

School Phone: *

Emergency Contact Phone: *

School City: *

School Colors:

Arrival / Departure Information:

How will you arrive into Valdez: * Select How Air Car or Bus Live Here Ferry

When will you arrive for the conference? * Select Arrival Date November 8 November 9

Arrival Time: Select AM or PM AM PM

When leaving Valdez? Select Departure Date November 11 after 7:00 PM November 12

Departure Time: Select AM or PM AM PM

Payment Information:

Is Your School a Member of AASG? * Select Membership Yes No

Registration Cost: * Select Registration Cost $125 AASG member school $150 non - AASG

Please Select Payment Method: * Select Payment Method Purchase Order Pay by Check Cash Bring payment made out to AASG to conference registration.

AASG Elections:

President, Vice President, and Public Relations Officer will be elected at the conference. Parliamentarian and ASAA representative will be selected by interview. Secretary/Treasurer may also be selected, if Bylaws are amended. Go to www.aasg.org for information on these exciting choices. Are you interested in applying for one of these positions? Select Answer Yes No If Yes, go to www.aasg.org for application.

Cancellation Policy:

Students may be substituted without penalty through 11-8-06 if notified by email to ruthie_knight@valdez.cc. Substitutions made at registration require $10 late fee in cash. T-shirt size cannot be guaranteed for substitutes. Cancellations must be done in writing by email to ruthie_knight@valdez.cc AND Carol Waters (ma2tna@acsalaska.net) and by 11-1-06 without penalty. No refunds after 11-1-06. By registering, you agree to the cancellation policy rules. Concerns? Contact Carol Waters at email ma2tna@acsalaska.net or call 346-3148

Submit Form:

Make sure you have filled out ALL required fields, then click the "Submit Registration Form" Button below. Please be patient after submitting. It may take a little while for your form to process.