NAKPEHE Registration Page

Membership has it's privleges! Join NAKPEHE now to get all the benefits of membership, including NAKPEHE publications and internet services. Print and fill out the following information form, check the appropriate amount of payment, and mail to Jackie Lund at the address at the bottom of this form. Your receipt will be sent to you at the address you put down below:

First Name         
Middle Initial     
Last Name          
Title              
Highest Degree     
Department         
Street Address     
College/University 
City               
State              
Zip Code           
Office Phone       
FAX                
E-Mail             
URL                

Please provide your home address if you wish to have your NAKPEHE publications sent there

Street Address     
Street Address     
City               
State              
Zip Code           
   

Select your primary area(s) of responsibility:

Adapted Physical Education
Administration            
Anatomical Kinesiology    
Anthropology of Play      
Athletic Training         
Basic Instruction         
Biomechanics              
Coaching                  
Comparative/International 
Curriculum                
Dance                     
History                   
Measurement & Evaluation  
Motor Development         
Motor Learning/Control    
Pedagogy                  
Philosophy                
Exercise Physiology       
Psychology                
Sociology                 
Outdoor Education         
Literature                
Other                      Please fill in
   Institution
4 year college/university 
Jr./community college     
Other                      Please fill in
   Rank
Instructor                
Asst.Professor            
Assoc.Professor           
Professor                 
Other                      Please fill in
   Age
22-35
36-46
46-55
56-65
over 65
   

U.S. Faculty $70.00
International Faculty $80.00 (includes mailing)
Emeritus (all publications) $45.00
Emeritus (Chronicle only) $15.00
Graduate Students $30.00
Concurrent AAKPE membership $20.00
Tax Deductible Contribution to NAKPEHE _____________