2021 IPTA Summer Conference Attendee Registration

This registration form is for those District personnel wishing to register for the 2021 57th Annual IPTA School Transportation Summer Conference and Trade Show.

Please complete all required fields in the registration and then follow directions for submitting your registration.

Please be sure to register each attendee for individual name tags to be printed and for an accurate meal count during each days events.

 

* denotes a required field.
General Information
School District or Organization Name: *
Please enter the name of the district or business you represent  
District or company address: *
Please enter the complete mailing address of your district or company.  
City: *
City of business office  
State: *
Zip Code: *
Name of Attendee: *
The name of attendee. Please register additional attendees in separate registrations.  
Email address of attendee: *
email address is the email of attendee, the invoice for registration will be sent to this address.  
Cell Phone Number of Conference Attendee: *
Please include the cell phone number of attendee in case of an emergency.  
IPTA Member: *
Please enter "YES" for an IPTA Member or "NO" for a non-member of the association.  
Purchase order number if used:  
Please enter a purchase order number if you use one for registrations or purchases.  
Position: *
Please choose the what type of position you hold at your school district  
Years of Experience in School Transportation: *
Please list your years of experience in school transportation  
Dietary Meal Request: *
Dietary Meal Requests: please check the appropriate choice to let us know if you have special dietary requirements. We will notify the hotel well in advance of the event, to give them ample time to prepare.  
Payment Information
Product Quantity Price Subtotal
Number of Days Attending Conference: *
Price:    
Subtotal: 

Payment Address:

Iowa Pupil Transportation Association

7211 Bryn Mawr Drive

Urbandale, Iowa 50322

  
 
Total Amount Due: