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Awardees, Guests, BOD Members, & Staff Registration
2025 MSEA Dr. Martin Luther King, Jr. Celebration
Please enable JavaScript in your browser to complete this form.
–
Step
1
of 2
Registration Category
*
–Select One–
MSEA Award Winner
MSEA Governance
MSEA/NEA Staff
MSEA Invited Guest
Speaker
Student Performer
Chaperone for Student Performer(s)
Are you an active or retired MSEA Member?
*
–Select One–
Yes
No
MSEA membership #
*
If you do not know your MSEA/NEA member number, email
[email protected]
with “MSEA Member Number” in the subject line.
Is this your first time attending an MSEA training or event?
*
–Select One–
Yes, this is my first time.
No, I have attended a training or event in the past.
Is this your first time attending MSEA's Dr. Martin Luther King, Jr. Celebration?
*
–Select One–
Yes, this is my first time.
No, I have attended in the past.
MSEA AUDIO VIDEO POLICY
For security and privacy, no audio or video recordings are permitted without the express written permission of MSEA.
MSEA Audio Video Policy Agreement
*
I understand and agree to the MSEA Audio Video Policy statement above.
CANCELLATION POLICY
Participants canceling after 1/6/2025 will be responsible for meal expenses and associated costs incurred by MSEA as a result of my cancellation or my being a no-show. This is in addition to applicable registration fees.
Cancellation Policy Agreement
*
I understand and agree to the cancellation policy statement above.
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Registration
Name
*
First
Last
Local Association
*
–Select One–
APSASAC
ACEA
SAAAAC
TAAAC
ESPBC
TABCO
CASA
CAESS
CEA
CCEA
APSASCCO
CASE
CCEA
CESPA
CCCTA
EACC
DASA
DE
FCASA
FASSE
FCTA
GASA
GCEA
HCEA – Harford
UHCCF
HCEA – Howard
KCESPA
KCTA
MCEA
ACE-AFSCME Local 2250
PGCEA
QACEA
SEA
SMASA
EASMC
TCEA
WCESP
WCTA
WCEA
WCESPA
WCTA
WWCCFA
Email
*
Phone
*
Race/Ethnicity
*
–Select One–
Asian or Pacific Islander
Native American or Alaska Native
Latin(o/a/x), Hispanic, or Chican(o/a/x)
Black or African American
Multiracial
MENA (Middle East or North Africa)
White
Other
Prefer not to say
Gender Identity
*
–Select One–
Female
Male
Non-binary/Gender Non-Conforming
Transgender
Prefer not to say
Personal Pronouns
*
–Select One–
She/Her/Hers
He/Him/His
They/Them/Theirs
Ze/Zir/Zirs
Prefer to self-describe
Prefer not to identify
For your badge/meeting ID
etc.) Phone
If applicable, please list any accessibility accommodations (e.g. dietary restrictions, mobility needs, auditory/visual aids, etc.) below.
**FOR MSEA AWARD WINNERS**
Each MSEA award winner is entitled to bring up to two attendees as their personal guests. In the space below, please provide the required registration information for each guest (if applicable). A ticket must be purchased for any additional guests–including children or youth between the ages of 3 to 17 years. Please click
HERE
to register and pay for any additional guests.
**FOR MSEA GOVERNANCE, MSEA STAFF, OR MSEA INVITED GUESTS**
Admission for MSEA governance, MSEA staff, and MSEA invited guests is complementary. Any additional guests–including children or youth between the ages of 3 to 17 years–must be registered (and their admission cost paid) prior to the event. Please click
HERE
to register and pay for any additional guests.
Are you bringing any guests to the event?
*
–Select One–
Yes
No
Name of guest #1
*
First
Last
Personal Pronouns
*
–Select One–
She/Her/Hers
He/Him/His
They/Them/Theirs
Ze/Zir/Zirs
Prefer to self-describe
Prefer not to identify
For their name badge.
Name of guest #2
First
Last
Personal Pronouns
–Select One–
She/Her/Hers
He/Him/His
They/Them/Theirs
Ze/Zir/Zirs
Prefer to self-describe
Prefer not to identify
For their name badge.
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