March 2022 Conference Registration

When: Monday, March 7, 2022, 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 March 1 or when capacity is reached.

If you registered for the Sept. 10, 2021 conference (rescheduled due to covid) and have not requested a refund, you are already registered for March 7 and do not need to register or pay again! If you got a refund, you will need to re-register.

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

Phone

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

I am...

a parent of an autistic child.

a relative of an autistic individual.

an autistic individual.

a service provider.

an educator.

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

Registration Type

$40 - Individual

$75 - Family of 2 or more

$80 - Clinician seeking CEUs

$25 - Student

Family Members - MUST ENTER NUMBER

How many family members (not including yourself) will be attending?

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

Educator

Adult

Optional Donation to the Chattanooga Autism Center

$20

$50

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

Registration Form

March 2022 Conference Registration

Registrant Information