Chicago One Day Conference

Name*

First Last

Email*

Phone*

I am requesting CEUs (for SLPs)*

Yes
No

Pricing*

Individual: $35.00
Family: $45.00
SLP-CEUs: $80.00
Grad. students: $25.00

Price will increase by $5 after 02/07/2020

Parking

Discounted parking is available for $7, reserve via online registration by March 1st, 2020 for discount.

Discounted Parking

Billing Address (credit card)*

Street Address Address Line 2 City State ZIP Code

How many children will you be bringing*

Below, please specify name, age, and if child stutters or if they're a sibling.

ex. Maria, 10, stutters

ex. Tommy, 8, sibling

ex. Mike, 13, sibling

PLEASE NOTE: We recommend a minimum age of 6 or 7 years for children attending this conference. This is due to workshop formats that require the child to separate from their parents for the duration of the workshop. Please use your judgment and familiarity with your child's autonomy/independence. For any questions regarding your child's suitability to attend, please email Sara MacIntyre at sara@friendswhostutter.org

Name, age, stutters/sibling

Please check all that apply:*

I am an adult who stutters
I am a parent
I am an SLP
I am a student
Other

How did you hear about this conference?

Option

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Total

$0.00

Above total is based on the One-Day Conference you have chosen to attend, and the type of registration.

Refund Policy: Registrations may be refunded up until 24 hours prior to the conference. Please send an email to kevin@friendswhostutter.org to initiate a refund.

PLEASE NOTE: By entering and attending this event, you acknowledge and agree that your likeness may be included in photos and videos of the event and used by Friends to illustrate and promote Friends and its programs. For questions or concerns, please contact friends@friendswhostutter.org

Email

This field is for validation purposes and should be left unchanged.

Chicago One-Day Conference Registration

Registration