2023 OMEA Dist. 4 Fall In-service Registration

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Email *

Contact Information

First Name *

Last Name *

Content area(s) you teach: *

Mark ALL that apply

Band

Choir

Orchestra

Elementary Music

Required

Phone Number *

Your school district?

Central

Dallas

Falls City

Gervais

Mt. Angel

North Marion

North Santiam

Salem-Keizer

Silver Falls

Springfield

St. Paul

Woodburn

Private or parochial school within one of the districts listed above

Other:

Clear selection

School (s) where you teach *

If teaching in multiple schools, please put an asterisk by your primary location.

Conference Registration

Select one *

OMEA/NAfME membership must be current as of 10/1/23 for the member price to be applied (www.nafme.org). If you are registering using this form, you must pay by card through Paypal at the time you submit this online registration (or mail cash or check to the address below). Checks (made out to OMEA District 4) or Cash: Mail to Steve Phillips 5435 Middlecrest Ct. S., Salem, OR 97306

Member Price................................................................$40

Non-Member Price..........................................................$50

Student/Retiree fee -------------------------------------------------------$10

Beaverton School District (we will notify BSD District of your attendance and bill BSD)

OMEA D4 Board Member

Required

Payment Options

Credit Card: Pay online via PayPal (you will be required to create or login to your PayPal account). Visit bit.ly/PayPalOMEAD4. Please enter the registration amount you owe and District 4 will cover the Paypal processing fee.

Purchase Order: Email your PO number to Steve Phillips at phillips_steve@salkeiz.k12.or.us

If your school/district needs to make alternate payment options, please leave a message for Steve Phillips at 503-399-3128.

Western Oregon University Credit

Western Oregon University is offering college credit for the OMEA D4 Fall Inservice. You can find more information in the WOU Credit document.

We are having lunch delivered by Little Lois Cafe!

1. Click: MyBagLunch.com

2. Enter Group Order Number: 42475

3. Order Your Lunch! - You are required to pay for your lunch

4. Make sure to order by our cutoff time: 10/13/23 @ 10:00 AM

**Note: The lunch break is 1 hour and there are few meal options nearby. *

YES! I will order a lunch and pay by card

No thanks!

Questions? Please email omeadistrict4@gmail.com

Thank you for registering for the 2023 D4 Online Fall In-service!

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