Annual Conference 2022 – Registration Form – Florida Association of Teacher Educators

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Conference at Southeastern University – Lakeland, Florida

Join Us on October 10-11, 2025

Attendee Information

Name*

First Last

Institution*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Florida County*

Phone*

Email*

Name as You Would Like it to Appear on Nametag*

Current Position*

Is this your first FATE conference?

Yes
No

Conference Registration

Type of Registration*

Check Out

Grand Total

$0.00

How Would You Like to Pay?

Credit Card (via PayPal)
Check (via mail)

Pay by Credit Card using Paypal:
After submitting this form you will be directed to Paypal's website to finish your payment. Please keep the confirmation of this email and the confirmation from PayPal as your receipt.

Make your check payable to FATE and mail to:
Kate Wittrock
6207 S West Shore Blvd
Unit 1081
Tampa, FL 33616

Registration confirmation will be sent via email once fees are received. There no refunds available.

Media Policy Guide Event attendees grant permission to FATE (and its designees and agents) to utilize the attendee’s image, likeness, actions and statements in any live or recorded audio, video or photographic display or the transmission, exhibition, publication or reproduction made of, or at, FATE Events in any medium or context for commercial or promotional purposes without further authorization or compensation.