Full Name


First Name for Badge

School Name

School Division

School Address




School Fax

School Phone




Registration Fee (you must select one)

Please note that TEAM DISCOUNTS are being offered again this year. In order to qualify for a team discount (1) the team leader (i.e., the school principal) must be a current member of VASSP; (2) each member of the team must be from the same school; (3) each individual registering with the principal must complete a separate registration form.


Breakfast (enter 0 if you DO NOT wish to attend)

Wednesday, June 28, 2017 at 7:15 a.m., $19 per person. Special guest speaker is Dr. Phyllis Pajardo, assistant superintendent, City of Fairfax Schools, and co-author of the 2016 publication, The Principal Influence: A Framework for Developing Leadership Capacity in Principals. Breakfast tickets to be picked up at conference registration desk at time of registration. Tickets sold in advance only and will not be available for sale on day of breakfast. (NO REFUNDS)

Breakfast Tickets $19 per person


Pre-conference program

The School Law Clinic qualifies for (5) additional recertification points and is included in the state conference registration fee and will be held at the Renaissance Portsmouth-Norfolk Waterfront Hotel. To attend only the law clinic the registration fee is $145 for VASSP Members and $175 for Nonmembers of VASSP.  Call VASSP at 804-355-2777 before June 9, 2017, to register only for the School Law Clinic.


Graduate Credit

GRADUATE CREDIT will be offered for attending this conference.  Persons checking “yes” will be contacted regarding academic requirements and tuition.     Yes No


Paying with a credit card? (required)

Name on Card (required)

Credit Card Number (required)

Credit Card Billing Address (required)

Expiration Date (required) example 08/2018

Total Amount Authorized for Credit Card Billing (required)

Cancellation Policy

All cancellations must be made in writing and received in the VASSP office by June 9, 2017. A $50 processing fee will apply to all cancellations, including those paid by purchase order. All refunds will be issued following the 2017 conference. There will be no refunds after June 9, 2017, as guarantees for space are paid in advance. Substitutions are permissible.

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