Registration

Information Highway Location

For courses taking place via information highway, please select the location you will be attending.

First Name (Required)

Last Name (Required)

Your E-Mail Address (Required)

Phone Number (Required)

Fax Number

Address (Required)

State (Required)

City (Required)

Zip (Required)

County (Required)

Employer

Title

Comments

I have read and understand the registration guidelines (Required)

• Workshops are free for North Carolina professionals serving children who are deaf or hard of hearing • Fee for out-of-state participants is $50 per workshop. Robert Humphreys will contact you for payment. Please go ahead and register using this form. • Registration deadline for each workshop is 1 week prior to the workshop. • Upon registration, if you entered a valid e-mail address, you will receive a confirmation e-mail. Bring this email confirmation to the workshop – it is your ticket for entry to the workshop! • If a workshop is full, you will be put on a waiting list. If you entered a valid e-mail address, you will receive an e-mail notification. Participants who are on a waiting list will be notified via e-mail as soon as space becomes available. If you are notified that space is available, bring the confirmation e-mail to the workshop – it is your ticket for entry! • Non-ASHA CEUs will be offered for each workshop. NO partial CEUs will be offered. • To cancel a workshop, send an e-mail to Robert Humphreys at rhumphre@unch.unc.edu. Participants who do not cancel and who are no-shows to a workshop will not be able to register for a workshop for an entire semester. • Participants who need communication accommodations must notify Robert Humphreys at rhumphre@unch.unc.edu a minimum of 2 weeks prior to the workshop. Confirmation of attendance will be required 3 working days prior to the workshop. Cancellation of attendance less than 3 working days prior to the workshop will result in the participant being charged for that accommodation.

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