Frog Street Press

Splash

Credit Card Registration - Online

20th Annual Educational Conference
Summer Splash 2012– Fanny Frog's Big Birthday Bash
Registration

Conference Cost:
$279.99 before March 31, 2012
$299.99 after March 31, 2012

Location:

Yes, I'd like to attend the Dallas Make and Take Pre-Conference (July 12th, 2012), 4 hour session, for $79 (in addition to my conference registration) .

2012 Conference T-Shirt included with registration. Select size: *
Small Medium Large XLarge XXLarge XXXLarge

Participant:
Participant First Name *
Participant Last Name *
Home Address *
City *
State *
Zip *
Phone *
Email *
Fax

School:
School Name *
District
Address *
City *
State *
Zip *
School Phone *
Email *
Fax
Grade or Specialization *	PreK K 1st Other
	Administrator Director

Contact Person to send information through June 15, 2012: Contact information same as participant information above
First Name *
Last Name *
Title *
Address *
City *
State *
Zip *
Phone *
Email *
Fax

* required field

Registration will be complete when full payment is received

Registration cost is $279.99 thru March 31, 2012, and $299.99 after March 31, 2012.
Space is limited - register early - sessions will be filled on a first come, first serve basis. Breakout selections will be available online at www.frogstreet.com after March 12th. 2012 registration will be complete when full payment is received - includes school PO's. Splash information will be emailed. Please make sure you are able to receive emails from info@frogstreet.com.

No Refunds - registration fee is non-refundable, but may be transferred to another name. Deadline for registrations and/or registration transfers is June 26, 2012.

For additional information call 1-800-884-3764.

(Registration is not accepted until credit card information is validated - next screen)

Click here to download a copy of the registration form - to be completed and
mailed in with the appropriate information. (You may use this form if paying via check or school P.O.)