Student Registration

Registration Form
Delegate Information
First Name
Last Name
Program
School
Address
City
Postal Code
Phone
Email

Accommodations
I require the following accommodations:
Sign language interpreter
Vegetarian meal option
Vegan meal option
Attendant care	If checked, please describe:
Food allergies	If checked, please describe:
Cancellation Policy
Registrations cancelled before May 15, 2008 will be refunded, less an administration fee of $35.00. After May 15, 2008 registration fees are non-refundable. Substitutions will be accepted. Refunds will be issued after the conference.
Payment
Student Fee : $75
For more information
To request a refund, to make a substitution or for more information, please contact: Karin Davis, Conference Coordinator Presented by the Email: karin@makingcentsofabilities.com Phone: 519-716-9375