CAST Professional Learning's 3rd Annual UDL Symposium - UDL for Social Justice: Using Universal Design for Learning to Educate Underserved Learners

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Registration Instructions
Thank you for your interest in attending the Symposium. Please fill out/answer the following fields/questions. An asterisk (*) denotes a required field or question. The questions in this registration form are for information gathering purposes as we desire to learn more about the symposium audience.

Pricing Information
The cost of the Symposium is $795 per person and includes all materials and daily buffet breakfast and refreshment breaks. A 10% discount is offered to teams of three or more people from the same institution who register together.  Early Bird Registration: Register by May 15, 2017 and save $100 off the standard rate!

Payment Information
Credit Card - If you wish to pay by credit card, note that at the end of this application you will be redirected to our PayPal Credit Card Payment page where you will be asked to provide your credit card information.  If registering as part of a team of 3 or more and choosing the credit card option, your credit card will be refunded the 10% discount once each member of the team has submitted their registration form and payment.  If using the same credit card for each registrant, the credit card can be refunded for each payment instance, or a lump sum refund can be applied.

Purchase Order - If you are going to be paying for this registration via purchase order, please note that you will be asked to upload the purchase order with this application.

If you live outside of the United States, please select N/A, which appears as the first option in the drop down menu below.
Are your registering as a part of a team of 3 or more? If yes, please list the names of your team members in the comment box.
Please note: Each attendee must complete their own registration form. *This question is required.
If you work outside of the United States, please select N/A, which appears as the first option in the drop down menu below.