Information will be saved for future reference after submitting details on the next page.
Your health is very important to us. We want to be sure that we can serve you well during our program. The information provided will be handled confidentially.
Emergency Contact Information
You can opt to pay a $100 non-refundable deposit now and complete your payment later.
If you choose this option, you will receive a Paypal invoice with the remainder of your fee, due by Jan 2.
By clicking the yellow button below, you will be redirected to Paypal where you will be able to pay the conference fee via debit/credit card (scroll down to the grey button on the popup page), or your Paypal account.
Please note: we do not receive your registration information until your payment has been processed.
If you cannot afford the cost of the conference, please contact firstname.lastname@example.org.
By clicking the Submit button, you will be registered for ASCEND 2020!
We are so excited to have you join us!