Welcome to the CLTA 2019 Conference Early-Bird Registration Form

| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

CLTA  Innovate with Languages2019 Conference San Jose
Personal Information

ATTENTION: Do not use the form if you are a presenter or co-presenter. Contact Bethany Thompson, Program Chair at program@clta.net to get the presenter's registration link. Thank you.






ex. James = Jimmy







Email Information

Your personal email address works better, because …

  • your school server may block our emails to your,
  • when you change schools, districts or employment status, you can still stay in touch with us.

But, if you must use your school email address, perhaps you can give us an alternate email just in case.





PLEASE NOTE: If you are registering multiple people, each registrant must be on a separate form and have a UNIQUE email address. Using the  the same email for different registrations will override the previous registration.

School/Organization Information












                                          
                                          

Page 2 - Conference Registration

CLTA & Affiliate Membership



**Full-Time Students/Student Teachers: Please send proof of current student status or letter on letterhead from participating teacher or supervisor to registrar@clta.net.
Affiliate Membership

Registration (Standard/Part-time Member)

Conference Registration - Saturday/Sunday

*Registration Package Includes: Saturday and Sunday Sessions, Saturday Continental Breakfast, Saturday Luncheon and Sunday Gala Brunch (Thursday/Friday Workshops are NOT included).  IF you choose **Registration Fee Only (the "NO MEALS" option), but would like to purchase individual meals, please see below.


Pre-Conference Workshop Registration - Thursday & Friday
WORKSHOP A1 & A2 - FULL
Workshop A1 & A2 are closed. Please choose another. To be put on a wait list, email registrar@clta.net with the subject line: "Wait List for WS A1" or "Wait List for WS A2" and include your first and last name.

WORKSHOP B1 - FULL
Workshop B1 is closed. To be put on a wait list, email registrar@clta.net with the subject line: "Wait List for WS B1" and include your first and last name.

WORKSHOP C1 - FULL
Workshop C1 is closed. To be put on a wait list, email registrar@clta.net with the subject line: "Wait List for WS C1" and include your first and last name.

WORKSHOP D1 - FULL
Workshop D1 is closed. To be put on a wait list, email registrar@clta.net with the subject line: "Wait List for WS D1" and include your first and last name.

WORKSHOP E2 - FULL
Workshop E2 is closed. Please choose another. To be put on a wait list, email registrar@clta.net with the subject line: "Wait List for WS E2" and include your first and last name.

WORKSHOP F2 & F5 - FULL
Workshop F2 & F5 are closed. Please choose another. To be put on a wait list, email registrar@clta.net with the subject line: "Wait List for WS F2" or "Wait List for WS F5" and include your first and last name.

WORKSHOP G2 & G5 - FULL
Workshop G2 & G5 are closed. Please choose another. To be put on a wait list, email registrar@clta.net with the subject line: "Wait List for WS G2" or "Wait List for WS G5"and include your first and last name.

WORKSHOP H1 & H7 - FULL
Workshop H1 & H7 are closed. Please choose another. To be put on a wait list, email registrar@clta.net with the subject line: "Wait List for WS H1" or "Wait List for WS H7" and include your first and last name.

Registration (Student/Retiree Member)

Conference Registration - Saturday/Sunday

*Registration Package Includes: Saturday and Sunday Sessions, Saturday Continental Breakfast, Saturday Luncheon and Sunday Gala Brunch (Thursday/Friday Workshops are NOT included).  IF you choose **Registration Fee Only (the "NO MEALS" option), but would like to purchase individual meals, please see below.


Workshop Registration - Thursday & Friday
WORKSHOP A1 & A2 - FULL
Workshop A1 & A2 are closed. Please choose another. To be put on a wait list, email registrar@clta.net with the subject line: "Wait List for WS A1" or "Wait List for WS A2" and include your first and last name.

WORKSHOP B1 - FULL 
Workshop B1 is closed. To be put on a wait list, email registrar@clta.net with the subject line: "Wait List for WS B1" and include your first and last name.

WORKSHOP C1 - FULL 
Workshop C1 is closed. To be put on a wait list, email registrar@clta.net with the subject line: "Wait List for WS C1" and include your first and last name.

WORKSHOP D1 - FULL 
Workshop D1 is closed. To be put on a wait list, email registrar@clta.net with the subject line: "Wait List for WS D1" and include your first and last name.

WORKSHOP E2 - FULL 
Workshop E2 is closed. To be put on a wait list, email registrar@clta.net with the subject line: "Wait List for WS E2" and include your first and last name.

WORKSHOP F2 & F5 - FULL
Workshop F2 & F5 are closed. Please choose another. To be put on a wait list, email registrar@clta.net with the subject line: "Wait List for WS F2" or "Wait List for WS F5" and include your first and last name.

WORKSHOP G2 & G5 - FULL
Workshop G2 & G5 are closed. Please choose another. To be put on a wait list, email registrar@clta.net with the subject line: "Wait List for WS G2" and include your first and last name.

WORKSHOP H7 - FULL
Workshop H1 & H7 are closed. Please choose another. To be put on a wait list, email registrar@clta.net with the subject line: "Wait List for WS H1" or "Wait List for WS H7" and include your first and last name.

Registration (Non-Member)

Conference Registration - Saturday/Sunday

*Registration Package Includes: Saturday and Sunday Sessions, Saturday Continental Breakfast, Saturday Awards Luncheon and Sunday Gala Brunch (Thursday/Friday Workshops are NOT included).  IF you choose **Registration Fee Only (the "NO MEALS" option), but would like to purchase individual meals, please see below.


Thursday Workshops
WORKSHOP A1 & A2 - FULL
Workshop A1 & A2 are closed. Please choose another. To be put on a wait list, email registrar@clta.net with the subject line: "Wait List for WS A1" or "Wait List for WS A2" and include your first and last name.

WORKSHOP B1 - FULL
Workshop B1 is closed. To be put on a wait list, email registrar@clta.net with the subject line: "Wait List for WS B1" and include your first and last name.

WORKSHOP C1 - FULL
Workshop C1 is closed. To be put on a wait list, email registrar@clta.net with the subject line: "Wait List for WS C1" and include your first and last name.

WORKSHOP D1 - FULL
Workshop D1 is closed. To be put on a wait list, email registrar@clta.net with the subject line: "Wait List for WS D1" and include your first and last name.

WORKSHOP E2 - FULL
Workshop E2 is closed. Please select another. To be put on a wait list, email registrar@clta.net with the subject line: "Wait List for WS E2" and include your first and last name.

WORKSHOP F2 - FULL
Workshop F2 & F5 are closed. Please select another. To be put on a wait list, email registrar@clta.net with the subject line: "Wait List for WS F2" or "Wait List for WS F5" and include your first and last name.

WORKSHOP G2 & G5 - FULL
Workshop G2 & G5 are closed. Please choose another. To be put on a wait list, email registrar@clta.net with the subject line: "Wait List for WS G2" and include your first and last name.

WORKSHOP H1 & H7 - FULL
Workshop H1 & H7 are closed. Please choose another. To be put on a wait list, email registrar@clta.net with the subject line: "Wait List for WS H1" or "Wait List for WS H7" and include your first and last name.

Saturday Night Excursions

How much would you like to donate to one or more of the following funds?

$
Please only enter digits, no "$" necessary.


$
Please only enter digits, no "$" necessary.

$
Please only enter digits, no "$" necessary.

$
Please only enter digits, no "$" necessary.
NOTE: To learn more about each of the funds, visit clta.net/awards or click on the fund above.

Page 3 - Payment

Terms and Conditions
LATE FEE: 
A $50 Late Fee will be assessed on all registrations not received by Feb. 22, 2019 (postmarked by Feb.15, 2019).

REFUND POLICY:
All requests for refund must be in writing to registrar@clta.net by February 25, 2019. No refunds will be made if requested after that date. A $25 Administrative Fee will be assessed for ALL cancellations.  Refunds will NOT be given on Membership Dues. Refunds will be processed after the conference.

Photograph Permission: By registering for this conference, individuals are giving CLTA permission to use any photographs taken.

CLTA makes your contact information available to our workshop presenters so they can communicate with you pre- and post-Conference about the workshop(s) in which you are enrolled. If you do NOT want to hear from the presenter, send an email to registrar@clta.net reflecting your wishes.



$

Payment Via Check:

Make checks payable to CLTAPlease send payment along with a copy of this registration to:

CLTA Conference Registration

8822 Woodman Way

Sacramento, CA 95826


To finalize your Registration, remember to click on SUBMIT after you have verified/printed your information.

PLEASE NOTE: Do NOT mail your check after February 15, 2019! Bring it with you to the Conference!
Payment Via Purchase Order (PO):

If you know your Purchase Order #, please enter it here.  If you do not have it yet, please email a PDF copy to the registrar at registrar@clta.net when you have it available.

PO #

PLEASE NOTE: Do NOT mail your purchase order after 2/15/19. Bring it with you to the Solutions Desk at the Conference (or email a pdf copy to registrar@clta.net by 5 pm February 22, 2019).
Payment Via Credit Card

Make a note of the TOTAL AMOUNT DUE above. After submitting your registration, you will have an opportunity to go directly to the credit card payment window. An email detailing how to pay using a credit card will also be sent to the email you provided. If you don't get the email, contact Evelyn at registrar@clta.net.