Exhibitor/Staff/Awardee Registration Details

If you are an Exhibitor*, Sponsor, member of the WHA conference Staff, invited guest, or an Awardee whose registration must be entered manually, please fill out the form below and a member of the WHA Staff will process your registration soon.

*If you are an exhibitor, your registration will only be processed after your organization processes payment for your Staffed Exhibit Table.

First Name *Enter your First Name
Last Name *Enter your Last Name
Email Address *
Preferred Pronouns
Name on Badge *Please type your name exactly as you wish it to appear on your badge
Badge Organization
Badge City
Badge Country
Emergency Contact Number *Please enter the name and phone number for your emergency contact
Professional Category *
Do you plan on attending the Opening Reception on June 26? *	Yes No	Do you plan on attending the Closing Reception on June 28? *	Yes No
Dietary RestrictionsPlease list any dietary restrictions and we will do our best to make reasonable accommodations.
Teacher IDYou can upload a copy of your Teacher ID or other documentation verifying that you are a current k-12 instructor here. If you do not submit electronically, you will be asked to show your ID at the registration desk before we give you your badge.
Are you a WHA Member?	Yes No	Are you a WHA Lifetime Member	Yes No
Are you a Panel Organizer	Yes No	Are you a Speaker/Presenter?	Yes No
Would you volunteer to be a Chair, if needed?	Yes No	Would you like to be a mentor?	Yes No
Are you seeking a mentor?	Yes No	Are you a first time attendee?	Yes No

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296c Nonotuck St Unit 3A,
Florence, MA 01062, USA

1-413-275-3858

info@thewha.org

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