* Required

Coaching for Character Conference Registration

Please complete the secure online form to register for the Coaching for Character Conference on Saturday, October 4, 2014 at Jesuit High School.

First Namerequired

Last Namerequired

Street Address or PO Boxrequired

Cityrequired

Staterequired

Zip Coderequired

Phone Numberrequired

Name of Your School/Organizationrequired

Are you a coach?*

Yes No

What sport(s) do you coach?

Registration Feerequired

Note: Employees of JHS and Central Catholic and conference presenters are free. UP School of Education alums receive a 50% discount.

Do you want the graduate level credit (.5 semester credit) through University of Portland?*

This is an additional $25 fee.

Yes! ($25.00) No

Lunch Optionsrequired

Please charge my credit card the following amountrequired

Please send a confirmation email to the address below*: