2017 Conference Registration

Virginia’s Out-of-School Time Conference

Retrain Your Brain On Afterschool

September 18, 2017

Marriott City Center in Newport News, Virginia

Title First Name * Last Name *
Position * Organization *
Mailing Address * City * State * Zip *
Work phone # * Alternative phone # *
Email Address * Fax # *
Special requests (i.e. dietary restrictions, etc.) *
County Town or City represented *

The Virginia Partnership for Out-of-School Time (VPOST)

The only form of payment accepted is credit or debit card. No other forms of payment will be accepted. You must pay at time of registration To pay with PayPal click submit and you will see the link on the next page.
Photo/Video Release * I hereby grant the Virginia Partnership for Out-of-School Time (VPOST) non-revocable permission to capture my image and likeness in photographs, videotapes, motion pictures, recordings, or any other media. I acknowledge that VPOST will own such images and further grant VPOST permission to copyright, display, publish, distribute, use, modify, print and reprint such images in any manner whatsoever related to VPOST. I further waive any right to inspect or approve the use of the image by the VPOST prior to its use. I forever release and hold the VPOST harmless from any and all liability arising out of the use of the images in any manner or media whatsoever, and waive any and all claims and causes of action relating to use of the Images, including without limitation, claims for invasion of privacy rights or publicity.

Cancellation Policy:

Cancellations received in writing prior to August 28, 2017, will be refunded by check after September 18, 2017, less a 20% administrative fee. No refunds will be made for cancellations after August 28, 2017. (Substitutions may be made at any time. Please notify VPOST of any substitute registrants by completing a registration and noting the replacement instructions in the Special Requests section.)