Register for Missouri PTA’s 2024 Convention

2024 Missouri PTA Convention Registration Form

Select PTA Unit Name : *

Council Affiliation (Select One) : *

Email *

First Name: *

Last Name: *

Office or Position: *

Phone *

Address

Country

City

State

Zip code

Emergency Contact:

This section is for Student registrations only

Adult Chaperone:

Chaperone Phone:

Check all that apply:

First Time Attendee

Distinguished Service Award Recipient

Missouri Life Achievement Award Recipient

National Lifetime Achievement Award Recipient

Dietary Restrictions, Allergies or Special Needs

Volunteer at Convention:

Yes, I am interested in volunteering during the convention

Registration Type: *

(Prior to Oct 1st) Early Bird Adult Rate - $60

(Prior to Oct 1st) Early Bird Student Rate - $30

Refund Policy

Refunds will be allowed if the request is received at least one (1) week prior to the event, with the amount of the refund to be determined by the executive committee.

2024 Missouri PTA Convention Registration Form

****This section is for Student registrations only****

This section is for Student registrations only