Convention Registration

Fall Convention
Cody, WY
November 11-13, 2018

Thank you for your interest in attending our convention. You will be asked for payment after submitting this form.  Registration is not complete until payment has been made.

Hotel Information:

Room rates at both hotels: $94.00 until 10/27/18

Holiday Inn (307) 587-5555

1701 Sheridan Ave, Cody, WY 82414

Code “ZMR, WAHPERD Convention”


Comfort Inn (307) 587-5555

1701 Sheridan Ave, Cody, WY 82414

Code “WAHPERD Convention”

Free continental breakfast available at Comfort Inn


Employment Classification (select one) *
Sections you teach *
Registration Type: *
Please select your form of payment. If paying by School Voucher/PO/Check send to Todd prior to Early Bird registration deadline. Todd Dulaney, 3201 Scott Drive, Rock Springs, WY 82901. If paying by Credit Card payment will be required on this form to complete registration.
Yearly Membership Fees-you must be a member to attend the convention and can pay membership at the registration table upon check in.
In consideration of, and as part payment for, the right to participate in this event and related activities and services arranged by Wyoming Association for Health, Physical Education, Recreation and Dance and its agents and associates, I do hereby and have assumed all risks of my participation in this event and I release and hold WAHPERD its agents and associates harmless from any and all liability, actions, causes of action, debts, claims and demands of every kind and nature whatsoever which arise out of or in connection with my participation in this event and related activities arranged by WAHPERD its agents and associates. The terms of this release shall serve as a release and assumption of risk by my heirs, executors, administrators and legal representatives. *
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