1. Complete a separate registration survey for each attendee.

Registration is Due by July 24, 2022. 
Complimentary registration for the first 2 registrants from each Region C Parent Center. 
Registration for additional participants is $160/per person. An invoice will be sent.

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* 1. Registrant Information (Name as you wish it to appear on your name tag)

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* 2. Please indicate:

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* 3. Please indicate if you have any special dietary needs during the conference (food allergies, gluten free, etc.)

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* 4. Please indicate if you will require special aids, services and/or accommodations (wheelchair access, interpreter, etc.) If you require interpretation, you will be asked to choose your sessions in advance.

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