leave name information blank and check here if this registration is
for a yet-to-be-determined attendee
(e.g. you do not yet know his or
her name, but your organization is purchasing a block of registrations)
I am a (select one registration type):
Thanks to the generous support of the Supported Life 2019 co-sponsors we are able to
offer a reduced registration fee for people with disabilities
and family members who wish to attend the conference.
We do ask people with disabilities and their family members who work in the disabilities field to request that their
agency pay the regular registration fee, to maximize our co-sponsors’ generosity.
Do not register online. Use the speaker registration form that was mailed
I will be attending (check all that apply):
Wednesday pre-conference session
I am a CaAPSE member CaAPSE memberhip number
Thursday conference day
Friday conference day
Vegetarian lunch preferred
Sign Language interpreting services
Conference materials in an alternative format (Braille, large print)
Please specify request (note:
all requests for accommodations must be received in
the Supported Life Institute office by
September 19, 2019):
Please indicate your preliminary choices of which concurrent sessions you are interested in attending (one choice per session time). You are still free to attend any session you wish at the conference.