Chapter Registration

Chapter *

Chapter Advisor or Contact *

Advisor/Contact Email *

Convention Attendee List *

For the listed faculty, please indicate next to the faculty’s name if they are willing to evaluate posters or oral presentations, and field of expertise. Please indicate next to participant’s name if vegetarian option for banquet.

Registration fees

Registration fee is $40 per person. This cost will help cover convention fees, convention t-shirt, and food. After you submit the chapter registration, you will have a chance to pay online. Alternatively, … Registration deadline is March 10th, 2026.

Field trip #1 (N/A)

Field trip #2 (N/A)

Field trip #3 (N/A)

Number of Small T-Shirts *

Number of Medium T-Shirts *

Number of Large T-Shirts *

Number of X-Large T-Shirts *

Number of XX-Large T-Shirts *

Number of XXX-Large T-Shirts *

Committee Assignments

Questions or Comments

Name