Registration - National Association for Kinesiology in Higher Education

NAME & EMAIL OF PERSON ATTENDING THIS CONFERENCE

First Name of Attendee

Last Name of Attendee

Email

Address Line 1

Address Line 2

Address Line 3

City

State/Province

Zip/Postal Code

Country

Phone

What time zone will you (or the attendee) be in during the conference?

Type of School or Business

4 year college or university
Junior or community college
Other:

College/University/Business

Department

Is this your (or the attendee's) first time attending a NAKHE annual conference?

Yes No

Why have you (or the attendee) elected to opt out of joining NAKHE?

NAME & EMAIL OF PERSON COMPLETING THIS FORM
We need this information only if you are registering for someone else.

First Name of Person Completing This Form
(If different from attendee.)

Last Name of Person Completing This Form
(If different from attendee.)

Email of Person Completing This Form
(If different from attendee.)

Comments:

2021 NAKHE Virtual Conference