The Seventh Annual Disabilities Symposium
University of Pennsylvania
Thursday, April 3, 2008
Registration / Schedule / Hotel and Travel /
Plenary Speakers / Workshops / Symposium Main Page
Registration
Deadline - March 27, 2008
(Click here for a Word version of this form)
(Click here for a PDF version of this form)
Please! Type or print CLEARLY
Name:
Organization:
Mailing Address:
City: State: Zip Code:
Phone: Fax:
E-Mail Address:
Plan your day!
I plan to attend:
__ Morning Plenary Session
__ Morning Workshops
__ Noon Plenary
__ Afternoon Workshops
__ Afternoon Plenary
Please check all that you are planning to attend.
Workshop Choices:
Please circle your choices for the Morning Workshops
First Choice A B C D
Second Choice A B C D
Please circle your choices for the Afternoon Workshops
First Choice E F G H
Second Choice E F G H
Registration Fee $50.00
Registration fee is waived for participants affiliated with the University of Pennsylvania, students, and presenters.
Continental breakfast, buffet lunch, and afternoon snack are included.
Please make checks payable to “Trustees of the University of Pennsylvania”
Checks will be accepted at the time of the event, but please register as early as possible.
Mail Registration and Payment to:
Weingarten Learning Resources Center
3702 Spruce Street, Suite 300
Philadelphia, PA 19104-6027
ATTN: Symposium Chair
Fax: 215-746-6326
Dietary Restrictions:
Disability Accommodations:
