Sigma Zeta National Convention Chapter Registration Form

Sigma Zeta National Convention Chapter Registration Form

2009 National Convention
March 26 - 28, 2009
Pikeville College
Pikeville, Kentucky

Please submit abstracts electronically using the form below no later than March 13, 2009. Please submit only one registration per chapter if possible.

If needed look up your Chapter Name for the Chapter Name entry below.

Chapter*

School*

Chapter Advisor/Contact Person:

Name*

Email:*

Phone:

Address

City

State

Zipcode:

Attendee Information:

Number Attending:

Number Students Attending:

Number Faculty Attending:

Total Number Attendees:

Number Presenting:

(Please submit an abstract form for each presenter/poster.)

Please list all members attending (First Last, First Last....) as well as any special physical or dietary needs:

Convention Attendee List:*

Registration Fee: ($25.00/person attending - Make Checks Payable to the Hosting University and place Sigma Zeta on the memo line of the check. Fees can be paid in advance by mailing to the Convention Host or can be paid during registration.)

Registration Fees ($25.00 X #attendees): $

Planned Arrival Time:

Arrival Date (mm/dd/yy)

Arrival Time (hh:mm am/pm)

Field Trip Information and Links

Number Participating in Field Trip

Breaks Interstate Park
Breaks Interstate Park is only one of two interstate parks in the United States and is characterized by rugged and scenic rock formations, numerous caves, and the deepest canyon east of the Mississippi River. The 4,500 acre forested park is home to diverse flora and fauna. Be sure to bring your hiking shoes/boots and camera.

Trip1

Kelloggs Bakery - Limit 22 - no charge
The Kellogg’s Pikeville Plant is the site where Pop-Tarts, Go-Tarts, and Nutra-Grain products are made. It is one of three Pop-Tart plants in the country, and it is also innovation plant (where special or new flavors are made). You will get to see the whole operation from start to finish in this unique behind-the-scenes tour.

Trip2

Coal Mine tour - Limit 22 - no charge
Tour an eastern Kentucky coal mine operation. On this trip you will see current mining techniques for coal extraction, including mountaintop removal, contour mining, as well as coal processing.

Trip3

Jenny Wiley Elk Tour - Limit 22 - $10/person [Tour Info | KY Elk Info]
A van tour through land reclaimed following coal surface mining to visit the area where elk were first re-introduced in 1997 after their extirpation approximately 150 years ago. The reintroduction has been so successful that eastern Kentucky now has the largest wild, free-ranging elk population east of Montana. Be sure to bring your camera.

Trip 4

After submitting you should receive a confirmation page and also a confirmation email.

Mail a printed copy of the above form (or your confirmation) and payment (Check made out to Pikeville College. Please include Sigma Zeta on the memo line on the check. ) to:

Bernadine Cochran
Math/Computer Science
Pikeville College
147 Sycamore St.
Pikeville, KY 41501
Phone: (606) 218-5463