Conference Registration Form

Submission date: January 7, 2009 at 03:21 AM .

How to register one or more persons

This form allows you to process multiple conference registrations on one order and then checkout and pay for all of them together. Once each registration is processed you will have the option of adding registrations to your order. Then when you check out, all charges and any credits will be tallied for a single payment for all the registrations submitted during this ordering session.

Step One of Five: Enter information on this form

Note: Required fields are in red type with an asterisk*. Please be sure to complete all of them and enter the appropriate information.

Please enter your name, organization, address, e-mail address, and phone.

First name*

Last name*

Check Here if you would like this Address to be remembered for multiple applications.

Organization*

Address line 1*

Address line 2

City*

*State

Zip Code*

E-mail*

Please re-enter your email address below:

Phone*

Area Code* Number*

Fax

Area Code Number

Emergency contact

Please provide the name and phone number of someone we may contact in case of an emergency.
Name Phone

Registration code

If you were given a registration code, please enter it here

Comments

Enter comments here e.g., dietary or accessibility needs. Note that the Eugene Hilton meeting and guest rooms are wheel chair accessible.

Registration Fees*	Fees
Registration Fees*	Before March 28, 2008	After March 28, 2008	After April 24, 2008
Full conference (1 1/2 days)	$ 185	$ 225	$ 275
Guest reservations for the Monday night dinner	$ 40
The Monday night dinner is included in the conference registration fee for all attendees. If you would like to purchase a reservation for someone not attending the conference, please enter the number of reservations here:
Donations Help someone attend Parenting Now! Conference '08 who needs a scholarship to do so. Enter here your donation amount:

Cancellation and refund policy: if a registration is canceled by February 29, 100% refund less a $25 processing fee; by March 28, 50% refund; after March 28, no refund. If you must cancel, you may submit a substitute registrant.

If you are using this form to resubmit information correcting a prior submission or if you need technical assistance, please send an e-mail message to Bob Winget at Toolbox Conference Management.

This page last modified April 25, 2008.

Conference Registration Form

How to register one or more persons

Step One of Five: Enter information on this form

Please enter your name, organization, address, e-mail address, and phone.

Registration Fees*

Donations