Online Registration, Step I

You may register up to 5 people at a time.
(If you need to register more than 5 people, please break your registration up into groups of no more than 5. For ten or more people, use our group registration forms [coming soon].

Please fill out the registration information for the first person in the form below and then click 'Add this registrant' at the bottom.

                                                   Add Registrant

Name
Any prefix to appear before your name
(ie, Rev., Sr., etc.):
First
Middle Initial
Last
Nickname:   Your first name as you would like it to appear on your name badge (if different from above)
Any suffix or designation to appear after your name
(i.e., OFM, Ph.D., etc.):
 

Registration Type

Please choose one of the following:

Note: You must be enrolled at least half-time to register as a student.

 

$20, Regular Rate ($25 after Monday, June 30, 2008)

$10, Concession Rate for Students, Unemployed and Fixed Income ($15 after Monday, June 30, 2008)
School or Institution
(required if choosing a student rate)

Address
Organization / Company
Street Address Line 1 
Line 2 
City
State / Province
Zip / Postal Code
Country USA
Other:
Phone USA/Canada: ( ) - Ext.:
International:
E-mail
Would you like to be added to the CAC's email mailing list?
 

Preferences

 

Learn more about The CAC:
Send me a free sample issue of Radical Grace (the quarterly publication of the CAC).

Sample issues will be sent to the contact information specified above, unless you let us know otherwise in the comments field on the next screen.

May we share your contact information?

to create a conference attendee directory to distribute to conference attendees?
with regional organizers to facilitate post-conference networking and regional follow-up events?

Pursuant to the Americans with Disabilities Act , do you require special aids or services? (Check all that apply)

Hearing

None
Require an ASL interpreter
Use amplification apparatus
Require seating in proximity to main stage
Other

Mobility

None
Use a wheelchair / motorized vehicle
Use a walker / cane
Other

Sight

None
Need guide assistance
Use service animal
Other

Other