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Event Cancellation/Replacement Form
Cancellation Policy:
Cancellations received via this form 21 days prior to the event will be refunded less a 20% processing fee. After that date no refunds are available, but replacement registrants are welcomed.
Attendee Info
First Name
*
Last Name
*
Position/Title
*
Email
*
School/Organization
*
Event
*
Will you be sending a replacement registrant?
*
Yes
No
Replacement Registrant Info
First Name
*
Last Name
*
School/Organization
*
Position/Title
*
Email
*
Work # (xxx-xxx-xxxx)
*
Division Level(s)
Please indicate which division level(s) you serve:
*
Lower (PreK-5)
Middle (6-8)
Upper (9-12)
All (PreK-12)
N/A
How will you travel to the event?
*
Car
Plane
Undecided
Dietary Preferences
*
Yes
N/A
Please indicate your dietary preference(s). Select all that apply. While our best efforts will be made to accommodate your preferences, we cannot guarantee all conference meals will match your selections.
*
Gluten-Free
Vegan
Vegetarian
Pescatarian
Kosher
Dairy Allergy
Shellfish Allergy
Seafood Allergy
Nut Allergy
No Pork
No Red Meat
No Chicken
IN CASE OF EMERGENCY (ICE)
Please list information below for your emergency contact. Must be someone other than yourself.
ICE First Name
*
ICE Last Name
*
ICE Email
*
ICE Phone (xxx-xxx-xxxx)
*
Additional Information
If you feel that your circumstances merit additional refund consideration, please explain below.