2023 Social Emotional Learning-Director's Institute Form

Conference Prices:

Member: Friday $65-$85, Non-members: Friday $100-130, Rates are based on date of application and membership status. The complete breakdown of the fees and other conference information can be found on this website page at the bottom of this form

NAEYC Member*

YESNO

NAEYC membership number (if applicable)

I am not a member, but want to add an NAEYC Membership to my registration to receive the reduced member conference rates.

Yes, please process my membership
No, not at this time

I select the following level of membership

Entry Level (digital only) -$30.00
Standard Level - with printed Journals -($ 69.00)
Premium Level - with printed Journals and Free books - $150.00
Family Level - $35.00

First Name *

Last Name *

MO Professional Development ID Number (MOPD ID)

Email Address*

Address *

City*

State*

Zip*

Work Affiliation

Phone number (cell, work, or home)*

I want to attend the following days

Friday ONLY (Lunch included)

Any dietary restrictions

I will be registering additionally through DESE and attending the DESE training for subsidy providers on Saturday afternoon.

Today's Date *

Payment Instructions

I understand that the conference fees will be based on the day(s) I attend, my current NAEYC membership status and the date the application is received. An invoice will be generated and returned to me by email for payment with a credit card, through PayPal within 48 HOURS. I understand NO Pay Pal account is required.