Required Participant Information

Tech Track  and SAIL On,  2018

Tech Track: Sunday, June 24, 2018 at 4 PM
until Monday June 25, 2018 at 4 PM

SAIL On: Tuesday, June 26, 2018 at 11 AM
until Friday June 29, 2018 at 3:30 PM

• Your registration will be confirmed when participant information and payment are complete.

• your school or organization may pay by purchase order, check or Credit Card.

• This form does not require payment, but is required for each participant.


Please submit one form per person.
This information will help us help you!


Today's Date *
Today's Date
Workshop Attending *
Be sure you select the correct ONE! If attending BOTH workshops, select both.
Please use the first name you wish to have on your NAME TAG!
Planned Method of Payment *
The Alliance will email an invoice for $308 per person. You may pay by Purchase Order, Check or Credit Card. Final registration will be confirmed upon payment.
Did Your SCHOOL or ORGANIZATION receive an Arts in Education Grant for 2018-2019? *
PRINCIPAL or DIRECTOR Name *
PRINCIPAL or DIRECTOR Name
BILLING MAILING Address for School or Organization *
BILLING MAILING Address for School or Organization
We require a valid address for mailing paper invoices.
SCHOOL or ORGANIZATION Phone *
SCHOOL or ORGANIZATION Phone
SCHOOL or ORGANIZATION Fax
SCHOOL or ORGANIZATION Fax
This will be printed on your name tag
PARTICIPANT Focus Interests *
This year we are planning to customize our professional development for specific participant needs and interests. Please check as many focus areas as might apply. We may not do them all, but can also plan for next year! 1. Administrative and Team Collaboration - (especially good if an administrator, a classroom teacher and a teaching artist are attending from one school) 2. Arts Integration Basics Using Standards - (geared toward first-time grantees and those new to arts integration methods) 3. Bicentennial School Programming using the Arts - (the themes of place, people and stories woven through the arts and the curriculum) 4. Clay Connections with Science and Social Studies - (for those new to or interested in clay: get help with technical set-up and easy art-making methods) 5. ELA Creative Writing and Expressive Reading - (English Language Arts, music and theatre will "play" a part here!) 6. Methods of Assessment - (learn how to build your goals into your lessons to achieve maximum positive impact on student learning) 7. Social Media, Photography, and Sharing Results - (advocate for and show off your programs, then build connections with others nationwide) 8. Technology and the Arts - (explore possibilities on iPads, iPhones, and ChromeBooks, including experiences with Virtual and Augmented Reality) 9. Water (connecting arts and other subjects to issues of the environment)
You may write as much as is needed here to explain what you do or WILL be doing now and in the coming year.
PARTICIPANT Cell Phone *
PARTICIPANT Cell Phone
This phone must work for texting (we are unlikely to text you unless it's an emergency) if participant is in or out of school. We will be communicating in June and MUST reach you!
Please describe any past arts or arts-integration workshops you have attended.
Please describe any special (or general) goals you might have for your learning experience.
PARTICIPANT: Please select TWO Art Forms *
If it were possible, which TWO art forms would you like to combine or learn about in this workshop? Select TWO only!
PARTICIPANT: Please select TWO Other Curriculum Subjects *
Imagine you could connect your two art forms with two other curriculum subjects. Which would they be? Select TWO only.
If you are attending as part of a group or "team" from the same school or organization, please name all team members here, including yourself.
SINGLE OCCUPANCY Option
Single Occupancy will cost significantly more because all rooms are set up for DOUBLE occupancy. By opting into SINGLE occupancy, you DO get a room to yourself, but you also prevent another participant from registering for the conference.
ROOMMATE Choice
ROOMMATE Choice
The Alliance must provide a rooming list. Please help us out by naming your roommate, or if you need one assigned, use the name "Please" for first name and "Assign" for last name.
EMERGENCY Contact Name *
EMERGENCY Contact Name
In the unlikely event of illness or accident...
EMERGENCY Contact Phone *
EMERGENCY Contact Phone
Please tell us if you have special food needs (especially allergies) or preferences. If none, please write "none."
Please tell us if you need physical, visual or auditory assistance. There IS some moderate walking involved between classrooms, dining hall, and lodging.
Questions? Needs? Comments? Please write!