PROGRAM PROPOSAL
2010 WAHPERD CONVENTION
WISCONSIN DELLS, WISCONSIN
OCTOBER 27-29, 2010

PROGRAM TITLE:

NAME OF PRESENTERS:

Briefly provide a clear and readable description of your program as you would want it to appear in the convention program.

**AV NEEDS-- WAHPERD is able to provide: Overhead/screen TV/VCR (check your needs)

DIVISION AND SECTION: Where you think this program fits best.

DANCE K-Elem Middle/High/College HEALTH K-12 College/Community	FUTURE PROFESSIONAL
	PHYSICAL ED
	Early Child-5 Middle Secondary College/Univ EC-12 Adaptive	EC-12 Athletic Training/Coaching Professional Prep Research Retired

FORMAT:

discussion

activity

lecture

demonstration

THE PREFERRED LENGTH OF EACH PROGRAM IS 50 MINUTES

SUBMITTED BY (CONTACT PERSON):

ADDRESS:
	STREET


CITY	STATE	ZIP	PHONE	FAX

E-MAIL:

SUBMISSION INSTRUCTIONS: Please submit this form by February 15, 2010. You may submit it via e-mail by clicking the first button below or you may print the completed form and mail it to: WAHPERD Office, 24 Mitchell Hall, UW La Crosse, La Crosse, WI 54601. To receive additional information on the 2010 WAHPERD Convention, please write to the address above, send an e-mail to wahperd@uwlax.edu, phone 800-441-4568 (or 608-785-8175), or fax 608-785-8172.