Number of Participants to Register
*Required

Annual Spring Conference
*Required
 Yes     No    
 Yes     No    
 IPRA Member ($235.00)     Non-IPRA Member ($400.00)    
 IPRA Member ($285.00)     Non-IPRA Member ($450.00)    
 IPRA Member ($150.00)     Non-IPRA Member ($315.00)    
 IPRA Member ($150.00)     Non-IPRA Member ($315.00)    
 IPRA Member ($60.00)     Non-IPRA Member ($220.00)    
 IPRA Member ($45.00)     Non-IPRA Member ($55.00)    
 IPRA Member ($20.00)     Non-IPRA Member ($25.00)    
 Thursday AM - Aquatic CEU Workshop ($40.00)     Golf Outing ($60.00)     Bowling ($20.00)     Jester Park ($20.00)     Johnston/Waukee ($20.00)    
 Tuesday Luncheon ($25.00)     Wednesday Best of the Best Banquet ($40.00)     Monday Social ($15.00)     Tuesday Social ($15.00)    
 Yes     No    

Annual Spring Conference - Form 2
*Required
 Yes     No    
 Yes     No    
 IPRA Member ($235.00)     Non-IPRA Member ($400.00)    
 IPRA Member ($285.00)     Non-IPRA Member ($450.00)    
 IPRA Member ($150.00)     Non-IPRA Member ($315.00)    
 IPRA Member ($150.00)     Non-IPRA Member ($315.00)    
 IPRA Member ($60.00)     Non-IPRA Member ($220.00)    
 IPRA Member ($45.00)     Non-IPRA Member ($55.00)    
 IPRA Member ($20.00)     Non-IPRA Member ($25.00)    
 Thursday AM - Aquatic CEU Workshop ($40.00)     Golf Outing ($60.00)     Bowling ($20.00)     Jester Park ($20.00)     Johnston/Waukee ($20.00)    
 Tuesday Luncheon ($25.00)     Wednesday Best of the Best Banquet ($40.00)     Monday Social ($15.00)     Tuesday Social ($15.00)    
 Yes     No    

Annual Spring Conference - Form 3
*Required
 Yes     No    
 Yes     No    
 IPRA Member ($235.00)     Non-IPRA Member ($400.00)    
 IPRA Member ($285.00)     Non-IPRA Member ($450.00)    
 IPRA Member ($150.00)     Non-IPRA Member ($315.00)    
 IPRA Member ($150.00)     Non-IPRA Member ($315.00)    
 IPRA Member ($60.00)     Non-IPRA Member ($220.00)    
 IPRA Member ($45.00)     Non-IPRA Member ($55.00)    
 IPRA Member ($20.00)     Non-IPRA Member ($25.00)    
 Thursday AM - Aquatic CEU Workshop ($40.00)     Golf Outing ($60.00)     Bowling ($20.00)     Jester Park ($20.00)     Johnston/Waukee ($20.00)    
 Tuesday Luncheon ($25.00)     Wednesday Best of the Best Banquet ($40.00)     Monday Social ($15.00)     Tuesday Social ($15.00)    
 Yes     No    

Annual Spring Conference - Form 4
*Required
 Yes     No    
 Yes     No    
 IPRA Member ($235.00)     Non-IPRA Member ($400.00)    
 IPRA Member ($285.00)     Non-IPRA Member ($450.00)    
 IPRA Member ($150.00)     Non-IPRA Member ($315.00)    
 IPRA Member ($150.00)     Non-IPRA Member ($315.00)    
 IPRA Member ($60.00)     Non-IPRA Member ($220.00)    
 IPRA Member ($45.00)     Non-IPRA Member ($55.00)    
 IPRA Member ($20.00)     Non-IPRA Member ($25.00)    
 Thursday AM - Aquatic CEU Workshop ($40.00)     Golf Outing ($60.00)     Bowling ($20.00)     Jester Park ($20.00)     Johnston/Waukee ($20.00)    
 Tuesday Luncheon ($25.00)     Wednesday Best of the Best Banquet ($40.00)     Monday Social ($15.00)     Tuesday Social ($15.00)    
 Yes     No    

Annual Spring Conference - Form 5
*Required
 Yes     No    
 Yes     No    
 IPRA Member ($235.00)     Non-IPRA Member ($400.00)    
 IPRA Member ($285.00)     Non-IPRA Member ($450.00)    
 IPRA Member ($150.00)     Non-IPRA Member ($315.00)    
 IPRA Member ($150.00)     Non-IPRA Member ($315.00)    
 IPRA Member ($60.00)     Non-IPRA Member ($220.00)    
 IPRA Member ($45.00)     Non-IPRA Member ($55.00)    
 IPRA Member ($20.00)     Non-IPRA Member ($25.00)    
 Thursday AM - Aquatic CEU Workshop ($40.00)     Golf Outing ($60.00)     Bowling ($20.00)     Jester Park ($20.00)     Johnston/Waukee ($20.00)    
 Tuesday Luncheon ($25.00)     Wednesday Best of the Best Banquet ($40.00)     Monday Social ($15.00)     Tuesday Social ($15.00)    
 Yes     No    

Annual Spring Conference - Form 6
*Required
 Yes     No    
 Yes     No    
 IPRA Member ($235.00)     Non-IPRA Member ($400.00)    
 IPRA Member ($285.00)     Non-IPRA Member ($450.00)    
 IPRA Member ($150.00)     Non-IPRA Member ($315.00)    
 IPRA Member ($150.00)     Non-IPRA Member ($315.00)    
 IPRA Member ($60.00)     Non-IPRA Member ($220.00)    
 IPRA Member ($45.00)     Non-IPRA Member ($55.00)    
 IPRA Member ($20.00)     Non-IPRA Member ($25.00)    
 Thursday AM - Aquatic CEU Workshop ($40.00)     Golf Outing ($60.00)     Bowling ($20.00)     Jester Park ($20.00)     Johnston/Waukee ($20.00)    
 Tuesday Luncheon ($25.00)     Wednesday Best of the Best Banquet ($40.00)     Monday Social ($15.00)     Tuesday Social ($15.00)    
 Yes     No    

Annual Spring Conference - Form 7
*Required
 Yes     No    
 Yes     No    
 IPRA Member ($235.00)     Non-IPRA Member ($400.00)    
 IPRA Member ($285.00)     Non-IPRA Member ($450.00)    
 IPRA Member ($150.00)     Non-IPRA Member ($315.00)    
 IPRA Member ($150.00)     Non-IPRA Member ($315.00)    
 IPRA Member ($60.00)     Non-IPRA Member ($220.00)    
 IPRA Member ($45.00)     Non-IPRA Member ($55.00)    
 IPRA Member ($20.00)     Non-IPRA Member ($25.00)    
 Thursday AM - Aquatic CEU Workshop ($40.00)     Golf Outing ($60.00)     Bowling ($20.00)     Jester Park ($20.00)     Johnston/Waukee ($20.00)    
 Tuesday Luncheon ($25.00)     Wednesday Best of the Best Banquet ($40.00)     Monday Social ($15.00)     Tuesday Social ($15.00)    
 Yes     No    

Annual Spring Conference - Form 8
*Required
 Yes     No    
 Yes     No    
 IPRA Member ($235.00)     Non-IPRA Member ($400.00)    
 IPRA Member ($285.00)     Non-IPRA Member ($450.00)    
 IPRA Member ($150.00)     Non-IPRA Member ($315.00)    
 IPRA Member ($150.00)     Non-IPRA Member ($315.00)    
 IPRA Member ($60.00)     Non-IPRA Member ($220.00)    
 IPRA Member ($45.00)     Non-IPRA Member ($55.00)    
 IPRA Member ($20.00)     Non-IPRA Member ($25.00)    
 Thursday AM - Aquatic CEU Workshop ($40.00)     Golf Outing ($60.00)     Bowling ($20.00)     Jester Park ($20.00)     Johnston/Waukee ($20.00)    
 Tuesday Luncheon ($25.00)     Wednesday Best of the Best Banquet ($40.00)     Monday Social ($15.00)     Tuesday Social ($15.00)    
 Yes     No    

Annual Spring Conference - Form 9
*Required
 Yes     No    
 Yes     No    
 IPRA Member ($235.00)     Non-IPRA Member ($400.00)    
 IPRA Member ($285.00)     Non-IPRA Member ($450.00)    
 IPRA Member ($150.00)     Non-IPRA Member ($315.00)    
 IPRA Member ($150.00)     Non-IPRA Member ($315.00)    
 IPRA Member ($60.00)     Non-IPRA Member ($220.00)    
 IPRA Member ($45.00)     Non-IPRA Member ($55.00)    
 IPRA Member ($20.00)     Non-IPRA Member ($25.00)    
 Thursday AM - Aquatic CEU Workshop ($40.00)     Golf Outing ($60.00)     Bowling ($20.00)     Jester Park ($20.00)     Johnston/Waukee ($20.00)    
 Tuesday Luncheon ($25.00)     Wednesday Best of the Best Banquet ($40.00)     Monday Social ($15.00)     Tuesday Social ($15.00)    
 Yes     No    

Annual Spring Conference - Form 10
*Required
 Yes     No    
 Yes     No    
 IPRA Member ($235.00)     Non-IPRA Member ($400.00)    
 IPRA Member ($285.00)     Non-IPRA Member ($450.00)    
 IPRA Member ($150.00)     Non-IPRA Member ($315.00)    
 IPRA Member ($150.00)     Non-IPRA Member ($315.00)    
 IPRA Member ($60.00)     Non-IPRA Member ($220.00)    
 IPRA Member ($45.00)     Non-IPRA Member ($55.00)    
 IPRA Member ($20.00)     Non-IPRA Member ($25.00)    
 Thursday AM - Aquatic CEU Workshop ($40.00)     Golf Outing ($60.00)     Bowling ($20.00)     Jester Park ($20.00)     Johnston/Waukee ($20.00)    
 Tuesday Luncheon ($25.00)     Wednesday Best of the Best Banquet ($40.00)     Monday Social ($15.00)     Tuesday Social ($15.00)    
 Yes     No    

Payment Information
*Required
$0.00
Month     Year 

Billing Information (Address must match with address on credit card statement)
*Required