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

City

Zip/Postal Code

State/Province

Country

Phone

Name of College/University/Business where employed

Type of School or Business

4 year college or university
Junior or community college
Other:

Department

Is this your (or the attendee's) first time attending a NAKHE Leadership Development Workshop?

Yes No

Why are you attending the Leadership Development Workshop?

Are you interested in leading a Leadership Development Workshop in the future?

Yes, I am.
No, I am not.
I'd like to know more before committing.

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
(Only if different from attendee.)

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

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

Submission Confirmation

After you click submit, you will be taken to a "Confirmation Page". From there you may go back and make corrections or you may click on "Confirm" and go onto the "Thank You" page. This is your confirmation that we have received your information. You will not receive an automated email confirming your submission.

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2026 Leader Development Workshop

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2026 Leader Development Workshop

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