Annual Athletic Director & Sports Medicine Conference Registration

1.  Each attendee will need to complete their own respective registration form.  

2.  Conference Fees & Payment
 - Online Payment:  If paying by credit card or PayPal, go to the PAYMENT PAGE on the NCISAA website (https://admin.ncisaa.org/payment_to_ncisaa.php).
 - Check:   Send to 5555 Concord Parkway South, Suite 408, Concord, NC 28027 (payable to NCISAA).
*Deadline for online registration is Monday June 1, 2020.  

3.  All conference events will be held at the Embassy Suites - Charlotte/Concord.

4.  Host Hotel - Embassy Suites
-Link for registration instructions:
 https://admin.ncisaa.org/uploads/Embassy%20Reservation%20Instructions%20(3).pdf
*Deadline for conference rate: Midnight on 05/25/2020

See brochure for conference details.
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Email *
First Name *
Second Name *
Cell phone number *
Mailing Address *
Name of School *
T-Shirt Size *
T-shirts are cotton and unisex sizing.
Classification *
Region *
Title *
Choose one option below.  If you serve multiple roles, choose "other" and provide relevant information.
Number of years in current role at current school? *
Number of years serving in a NCISAA School? *
Number of total years as an athletic director/athletic trainer/first responder/coach/admin assistant? *
Please list the professional certifications you currently hold. *
Please list the NCISAA boards or committees you currently serve on. *
Registration package choice (s) *
Note:  The AD & Sports Medicine package includes the coaches workshop.  The Coaches Package is for those only attending Thursday night through Friday events.  The AHA Certification is an "add-on" item that is not included in either of the other two packages.  See brochure for more information...
Required
If you are attending the Coaches Workshop, please provide which sport you coach. *
If you are not attending the Coaches Workshop, chose NA.
Required
I will attend the OrthoCarolina Sports Medicine Symposium portion of the conference. *
FOR ATHLETIC TRAINERS ONLY!
BOC Certification Number *
For trainers attending OrthoCarolina Symposium conference.  Enter NA if this is not relevant.
North Carolina Certification # *
For trainers attending OrthoCarolina Symposium conference..  Enter NA if this is not relevant.
Payment *
A copy of your responses will be emailed to the address you provided.
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