Transition Conference Online Registration

IMPORTANT NOTICE: Only credit card payments will be accepted for conference registration.

Early Bird Registration (before December 23, 2010)
Pre-Conf. Fee - $75.00
Conf. Fee - $250.00

After December 23, 2010
Pre-Conf. Fee - $100.00
Conf. Fee - $300.00

The 8th Annual Wisconsin Transition Conference will be held at:
 
The Kalahari Resort in Wisconsin Dells
Phone: 1-877-525-2427
www.kalahariresort.com
Thursday, February 17, 2011 – Friday, February 18, 2011
with pre-conference sessions on Wednesday, February 16.
A limited number of rooms have been blocked at the Kalahari for conference participants for Wednesday, February 16 and Thursday, February 17 under WTC (Wisconsin Transition Conference).

Click here to download 2011 Conference Brochure

Click here to download 2011 Conference Save the Date

Email:

Type of Registration

Select all that apply:
General Participant (Plan to attend sessions)	Presenter
Facilitator	Staff
Exhibitor	Exhibitor Assistant
Interpreter

 

General Information

Name of representative who will be attending the exhibit at the conference:

* First name: * Last name:

* Employer / Agency / Organization:

(Which term best describes your position in attending this conference?) - Select -ParentParent Center RepresentativeStudent/YouthWisconsin Department of Public InstructionDepartment of Vocational RehabilitationAdult Service Agency RepresentativeHigher EducationCESA RepresentativeDepartment of Health ServicesSchool District StaffInterpreterOther Name of Agency: Name of Postsecondary Institution: CESA #: 123456789101112 Name of School District: Name of organization:

Name of Display for Exhibit:

Title:	(as you would like it to appear on your nametag)
* Address1:
Address2:
* City:
* State/Territory:	AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AB SK BC MB NS ON PW NB NF QC YT NT VI PR GU AS
* ZIP:
* Phone (w/ area code):
Fax:
* Email Address:
Please confirm your email address:

 

 

Pre-Conference

Select any pre-conference session(s) you will attend: Wednesday, February 16, 2011 - Pre-Conference No pre-conference session Afternoon Session A

 

Interpreter

All conference fees have been waived. We thank you for your services to the Wisconsin Transition Conference.

 

Staff Confirmation

Password:

All staff registrations require entry of a password to waive registration fees.

Please contact Linda Maitrejean at lindam@cesa11.k12.wi.us to obtain a password

 

Exhibitor Options

Please select from the following exhibitor options:

Non-Profit - $75.00 For Profit - $400.00 Microenterprise run by youth with disabilities - $25.00

Brief description of services or resources:
Number of additional exhibitors who will accompany you: ($40.00 per person) 012345678910
Electrical outlet needed ($50.00 fee)
Second table needed ($40.00 fee)

 

Exhibitor Selection

Please select the exhibitor you will be assisting:

- Select -

 

Your Presentation(s)

 

Facilitator Duties

test

 

Accessibility Preferences

Wheelchair Access

Sign Language Interpreter

Braille

Large Print

Other - Please specify:

 

Dietary Preferences

No Preference

Vegetarian

Vegan

 

Registration Fee Exemption Code

Code:

If you qualify, please contact Linda Maitrejean at lindam@cesa11.k12.wi.us to obtain an exemption code.

 

 

I understand that if I request a refund more than 60 days after my registration payment is made, there will be a $15.00 processing fee and I will be required to submit of a copy of the credit card statement in order for CESA #11 to verify that refunds are credited to the proper credit card account.