2024 Chattanooga Autism Conference Registration

When: Friday, Sept. 6, 2024, 8am-4pm EST

Where: Chattanooga Convention Center

More Info: chattanoogaautismcenter.org/conference

Questions: Call 423-531-6961, opt. 3 or email amber@chattanoogaautismcenter.org.

Final registration deadline is Aug. 30 or when capacity is reached. NO LATE OR ONSITE REGISTRATION!

Registrant Information

If registering a family or group, use the name of one registrant here (the rest can be added later).

Name

First Name

Last Name

Verify Email

State

State of residence

City

City of residence

Phone

Registration Type

$70 - Individual

$130 - Family of 2-5

$55 - Student

$90 - Individual with CEUs

Family Members - MUST ENTER NUMBER

How many family members (not including yourself) will be attending? You can add up to 4 family members. Additional family members will need to register on a new form.

Family Member #1

Full name of first additional registrant.

Family Member #2

Full name of second additional registrant.

Family Member #3

Full name of third additional registrant.

Family Member #4

Full name of fourth additional registrant.

Track Preference

You can attend any workshops at the conference, even if they aren't in your selected track. Track preferences are for planning purposes only.

Parents

K-12 Educator

Early Childhood Educator

Adult

Optional Donation to the Chattanooga Autism Center

$20

$50

Demographics

Optional. Answers will not be reported with your name or identifying information.

I am...

an autistic individual.

a parent of an autistic child.

a relative of an autistic individual.

a service provider.

an educator.

none of the above, I just want to learn about autism.

Geographic Area

Gender

Race

Ethnicity

Add 3% to my total amount to help cover the payment processing fees