2023 KEMPA Winter Advisers Seminar REGISTRATION FORM

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Feb. 10-11, 2023 @ UW-Whitewater in Whitewater, WI

Email *

First and Last Name *

Mailing address *

School Name *

Preferred email (we'll confirm your registration & email updates to this email address) *

Phone number *

Check all the publications you advise: *

Yearbook

Newspaper

News/ Feature Magazine

Online

Broadcast

Literary Magazine

Other:

Required

For planning purposes: Are you also a member of the Journalism Education Association (JEA)? Choose the most correct answer: *

Nope, not a member of JEA

Yes, a JEA member

Yes, AND I've earned the CJE distinction

Yes, AND I've earned the MJE distinction

Will you attend Friday (9 a.m. - 4:30 p.m.)? *

Yes

Will you attend Saturday (9-noon)? *

Yes

Will you be staying at the Fairfield Inn & Suites by Marriott Whitewater? *

Yes

If you will be arriving on Thursday, are you interested in joining Sue and other advisers for dinner?
*

Yes

What $amount do you owe? Payment must be received by the registration deadline.

What is your form of payment? Payment must be received by the registration deadline.

Paypal

Check

Clear selection

For more information, contact April van Buren at aLvanBuren@madison.k12.wi.us or Google Voice at 608-284-8532

A copy of your responses will be emailed to the address you provided.

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