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ANNUAL CONFERENCE
November 18 & 19, 2010


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ANNUAL CONFERENCE

Program Proposal Form
CTAHPERD Convention, November 18 - 19, 2010
Please submit proposal forms no later than JUNE 1, 2010.
Questions: Daniel Swartz at dswartz@ctahperd.org.
*Required Information
Presenter Name * E-mail Address * Phone *
Presenter Name* E-mail Address* Phone*
School or Organization:*
Address * City * State/Zip *
Title of Presentation:
Type of Program: Check One Only Day desired: Check One Only
Lecture Activity Thursday Friday Both Days (If possible)

Please check (X) the categories most applicable to your program:
Level: Elementary Middle High University Other
Area: Health Physical Ed Recreation Dance Adapted Aquatics

Audio Visual Needs: due to increased rental fees for AV equipment, please limit your choice to ONE of the following items that you will DEFINITELY require:
Podium (lecture room only) Microphone (activity rooms only) LCD ** Flip Chart Screen CD/Tape Player
** Due to the limited number of LCD projectors available (4, in lecture rooms only), it is highly advisable for individuals to bring their own LCD if possible. We do not provide laptops.

Brief description of presentation for conference program: *

Please provide some background information that can be used to introduce you: *

Please give name, phone number, and e-mail of a suggested presider for your session: *
Enter the Access Code:

 
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