Register - General Conference Attendees

If you are registering as a student, please use the student registration form.

Early Bird Registration (until May 20, 2023)

Preconference Only – $125

Tuesday only, includes Coffee & Snacks (lunch on your own)

Preconference Workshop A: “Making” Participation Possible with DIY Supports for Play and Learning (9:30am – 4:30pm), or
Preconference Workshop B: Making Accessible Content with Microsoft Word and PowerPoint (9:30am – 4:30 pm)

Regular Conference only – $249

Wednesday and Thursday only – includes Breakfasts & Lunches

Bundled Preconference + Conference – $349

Includes Coffee and Snacks on Tuesday; Breakfast and Lunch on Wednesday and Thursday.

Preconference Workshop A: “Making” Participation Possible with DIY Supports for Play and Learning (Tuesday, 9:30am – 4:30pm), or
Preconference Workshop B: Making Accessible Content with Microsoft Word and PowerPoint (Tuesday, 9:30am – 4:30 pm)
+ all Regular Conference sessions (Wednesday-Thursday)

Regular Registration (after May 20, 2023)

Preconference Only – $175

Tuesday only, includes Coffee & Snacks (lunch on your own)

Preconference Workshop A: “Making” Participation Possible with DIY Supports for Play and Learning (9:30am – 4:30pm), or
Preconference Workshop B: Making Accessible Content with Microsoft Word and PowerPoint (9:30am – 4:30 pm)

Regular Conference only – $299

Wednesday and Thursday only – includes Breakfasts & Lunches

Bundled Preconference + Conference – $399

Includes Coffee and Snacks on Tuesday; Breakfast and Lunch on Wednesday and Thursday.

Preconference Workshop A: “Making” Participation Possible with DIY Supports for Play and Learning (Tuesday, 9:30am – 4:30pm), or
Preconference Workshop B: Making Accessible Content with Microsoft Word and PowerPoint (Tuesday, 9:30am – 4:30 pm)
+ all Regular Conference sessions (Wednesday-Thursday)

NOTE: AIVRS (American Indian Vocational Rehabilitation Services) staff are also invited to join us for an AIVRS Self-Employment/Subsistence Training which will take place in the same venue on Tuesday, June 20, 2023. There is no charge for this program.

2023 Conference Attendee Registration

Submitter's Name(Required)

First Last

Submitter's Email(Required)

Enter Email Confirm Email

Submitter's Cell Phone(Required)

If you don’t have a cell phone please enter the best phone # to reach you during business hours in the summer.

How many do you want to register? (You may register up to 3 people at a time.)

Attendee #1

Name(Required)

First Last

Company

Position/Title

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell Phone(Required)

If you don’t have a cell phone please enter the best phone # to reach you during business hours in the summer.

Email(Required)

Enter Email Confirm Email

Participant Category(Required)

Participant Category Explain(Required)

If Administrator or Other – specify

Employment Setting(Required)

If Other – specify(Required)

Reasonable Accommodations

In order to guarantee a reasonable accommodation, the request must be received by June 2, 2023.

ASL Interpreter

Assisted Listening Device

Braille

CART

Electronic access to print

Large Print

Other

If Other – specify(Required)

For Conference Planning Purposes, please check if you

Will have a service animal with you

Will use manual or powered mobility at the conference

Special Meal Choices

No dietary restrictions

Vegetarian

Vegan

Gluten free

Dairy free

No nuts

Other

Select a primary focus area track(Required)

You can attend any conference session even if it is not in your primary focus area.

American Indian/Alaska Native Vocational Rehabilitation and Employment

Assistive Technology (AT)

Innovative Practices in Disability Disciplines (formerly EBP)

Select a Registration Option:(Required)

Preconference A Only: “Making” Participation Possible with DIY Supports for Play and Learning (Tuesday only)

Preconference B Only: Making Accessible Content with Microsoft Word and PowerPoint (Tuesday Only)

Regular Conference Only Option (Wednesday & Thursday Only)

Bundled Preconference A: “Making” Participation Possible with DIY Supports for Play and Learning + Regular Conference (Tuesday, Wednesday, and Thursday)

Bundled Preconference B: Making Accessible Content with Microsoft Word and PowerPoint + Regular Conference (Tuesday, Wednesday and Thursday)

AIVRS Self-Employment/Subsistence Training Only (Tuesday only, AIVRS staff only)

AIVRS Self-Employment/Subsistence Training + Regular Conference (Tuesday-Thursday, AIVRS staff only)

Continuing Education Certificates

Northern Arizona University (NAU) Continuing Education (CE) Certificates will be provided for every session attended. In addition to that, will you also need Certified Rehabilitation Counselor (CRC) credits as well?

Yes

Discount Code (Attendee 1)

Your discount (if any) will auto calculate after your discount code is entered. In order to qualify for the “schools” discount, you must be an active employee or contractor working for an AZ public school district or AZ charter school.

Discount of $350 (if applicable)

Price: $0.00

Discount of $100 (if applicable)

Price: $0.00

Discount of $399 (if applicable)

Price: $0.00

Discount of $299 (if applicable)

Price: $0.00

Name of School District/Charter School(Required)

Supervisor’s Name(Required)

Supervisor's Email(Required)

Supervisor's Phone(Required)

Note: Discount is contingent upon NAU’s verification of above information.

Attendee #2

Name(Required)

First Last

Company

Position/Title

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell Phone(Required)

If you don’t have a cell phone please enter the best phone # to reach you during business hours in the summer.

Email(Required)

Enter Email Confirm Email

Participant Category(Required)

Participant Category Explain(Required)

If Administrator or Other – specify

Employment Setting(Required)

If Other – specify(Required)

Reasonable Accommodations

In order to guarantee a reasonable accommodation, the request must be received by June 2, 2023.

ASL Interpreter

Assisted Listening Device

Braille

CART

Electronic access to print

Large Print

Other

If Other – specify(Required)

For Conference Planning Purposes, please check if you

Will have a service animal with you

Will use manual or powered mobility at the conference

Special Meal Choices

No dietary restrictions

Vegetarian

Vegan

Gluten free

Dairy free

No nuts

Other

Select a primary focus area track(Required)

You can attend any conference session even if it is not in your primary focus area.

American Indian/Alaska Native Vocational Rehabilitation and Employment

Assistive Technology (AT)

Innovative Practices in Disability Disciplines (formerly EBP)

Select a Registration Option:(Required)

Preconference A Only: “Making” Participation Possible with DIY Supports for Play and Learning (Tuesday only)

Preconference B Only: Making Accessible Content with Microsoft Word and PowerPoint (Tuesday Only)

Regular Conference Only Option (Wednesday & Thursday Only)

Bundled Preconference A: “Making” Participation Possible with DIY Supports for Play and Learning + Regular Conference (Tuesday, Wednesday, and Thursday)

Bundled Preconference B: Making Accessible Content with Microsoft Word and PowerPoint + Regular Conference (Tuesday, Wednesday and Thursday)

AIVRS Self-Employment/Subsistence Training (Tuesday only, AIVRS staff only)

AIVRS Self-Employment/Subsistence Training + Regular Conference (Tuesday-Thursday, AIVRS staff only)

Continuing Education Certificates

Yes

Discount Code (Attendee 2)

Discount of $250 (if applicable)

Price: $0.00

Discount of $100 (if applicable)

Price: $0.00

Discount of $349 (if applicable)

Price: $0.00

Discount of $249 (if applicable)

Price: $0.00

Name of School District/Charter School(Required)

Supervisor’s Name(Required)

Supervisor's Email(Required)

Supervisor's Phone(Required)

Note: Discount is contingent upon NAU’s verification of above information.

Attendee #3

Name(Required)

First Last

Company

Position/Title

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell Phone(Required)

If you don’t have a cell phone please enter the best phone # to reach you during business hours in the summer.

Email(Required)

Enter Email Confirm Email

Participant Category(Required)

Participant Category Explain(Required)

If Administrator or Other – specify

Employment Setting(Required)

If Other – specify(Required)

Reasonable Accommodations

In order to guarantee a reasonable accommodation, the request must be received by June 2, 2023.

ASL Interpreter

Assisted Listening Device

Braille

CART

Electronic access to print

Large Print

Other

If Other – specify(Required)

For Conference Planning Purposes, please check if you

Will have a service animal with you

Will use manual or powered mobility at the conference

Special Meal Choices

No dietary restrictions

Vegetarian

Vegan

Gluten free

Dairy free

No nuts

Other

Select a primary focus area track(Required)

You can attend any conference session even if it is not in your primary focus area.

American Indian/Alaska Native Vocational Rehabilitation and Employment

Assistive Technology (AT)

Innovative Practices in Disability Disciplines (formerly EBP)

Select a Registration Option:(Required)

Preconference A Only: “Making” Participation Possible with DIY Supports for Play and Learning (Tuesday only)

Preconference B Only: Making Accessible Content with Microsoft Word and PowerPoint (Tuesday Only)

Regular Conference Only Option (Wednesday & Thursday Only)

Bundled Preconference A: “Making” Participation Possible with DIY Supports for Play and Learning + Regular Conference (Tuesday, Wednesday, and Thursday)

Bundled Preconference B: Making Accessible Content with Microsoft Word and PowerPoint + Regular Conference (Tuesday, Wednesday and Thursday)

AIVRS Self-Employment/Subsistence Training (Tuesday only, AIVRS staff only)

AIVRS Self-Employment/Subsistence Training + Regular Conference (Tuesday-Thursday, AIVRS staff only)

Continuing Education Certificates

Yes

Discount Code (Attendee 3)

Discount of $250 (if applicable)

Price: $0.00

Discount of $100 (if applicable)

Price: $0.00

Discount of $349 (if applicable)

Price: $0.00

Discount of $249 (if applicable)

Price: $0.00

Name of School District/Charter School(Required)

Supervisor’s Name(Required)

Supervisor's Email(Required)

Supervisor's Phone(Required)

Note: Discount is contingent upon NAU’s verification of above information.

Registration Total

TOTAL

Payment Options(Required)

by credit card online

by PO

by PO Pending

by Check

Payment Options(Required)

N/A, my order total is $0

If paying by PO(Required)

PO Number

Amount

If paying by check(Required)

Check Number

Amount

PO Pending Amount(Required)

Need Help?

For Registration or payment questions, contact Events Manager Adi Schaeffer at 602.728.9537, 800.477.9921 adi.schaeffer@nau.edu or Conference Logistics Coordinator Janelle Bauerle, 928.523.3103 janelle.bauerle@nau.edu

Refunds:
Refunds – minus a $25 processing fee per attendee – will only be given if a written cancellation notice is received via email, mail, or fax by May 22, 2023.

Release for Use of Photographs
By registering as an attendee of the 2023 Evidence for Success Disability Conference, you grant NAU/IHD/AzTAP the right and permission to use, publish and republish photographs or images in which you are included in whole or part in printed or electronic media.

Hidden

Register – General Conference Attendees

Early Bird Registration (until May 20, 2023)

Preconference Only – $125

Regular Conference only – $249

Bundled Preconference + Conference – $349

Regular Registration (after May 20, 2023)

Preconference Only – $175

Regular Conference only – $299

Bundled Preconference + Conference – $399

2023 Conference Attendee Registration

Attendee #1

Attendee #2

Attendee #3

Registration Total

Need Help?

As always, we are grateful to our conference partners