JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Southern District Meeting
April 2, 2022
Tatum Hall
William Carey University
Hattiesburg, MS
Registration/Refreshments: 8am - 9am
Meetings/Luncheon: 9am - 2pm
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Chapter
*
Your answer
Address
*
Your answer
REGISTRATION
*
Southern District Member - $35.00
Guest - $35.00
Required
DONATION OPTIONS (Please enter the amount below the Fund.)
(Please use the dollar sign when entering the amount donated. Ex. $5)
MSO Emergency Fund
Your answer
Leadership Management Fund
Your answer
Scholarships Fund
Your answer
Mary Stuart Harmon Scholarship Fund
Your answer
Check if applicable:
Chapter President
State Officer
State Related Personnel
State Committee Chairman
Past State President
Attending First Time
ECE (Early Career Educator)
Dietary restrictions
None
Other:
Clear selection
Permission to use your photo in MSO publications
Yes
No
Registrar: Fran Kalusche (
MSOSouthernregistrar@gmail.com
)
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
