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Advocates' Retreat & Conference
Presenter Registration

If you are scheduled to present a keynote or workshop at the 22nd Advocates' Retreat and Conference, please complete this registration form.  If you have any questions about your presentation or the event, please contact Courtney Winkler, DCADV's Training & Outreach Coordinator at training@dcadv.org or 302-658-2958.

First Name *
Last Name *
Conference Attendance
Please let us know how you'd like to be addressed, if different from the name provided above. If this field is left blank, your name will be printed as entered at the top of this form.
Please let us know if you'll need any of the following accommodations to participate in this event.
If you require any accommodations that are not listed above, please describe them here.
Will you be joining us for meals on Monday, May 1?
Continental breakfast and a buffet lunch will be provided each day.
Will you be joining us for meals on Tuesday, May 2?
Continental breakfast and a buffet lunch will be provided each day.
We will make every effort with the venue to accommodate any indicated dietary needs.
Monday Workshop Selection: Session 1
Monday Workshop Selection: Session 2
Tuesday Workshop Selection: Session 3
Tuesday Workshop Selection: Session 4
Select a Payment Method
Cover the fee associated with this online transaction?
Cover the fee associated with this online transaction?
Your total payment will be
Your credit balance will cover
Your credit card will be charged
Your bank account will be charged

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