Attendee Information

Emergency Contact Information [REQUIRED]

Enter your emergency contact name, phone, and relationship to attendee in the box below.

Please indicate any special dietary needs.

Pursuant to the Americans with Disabilities Act, do you require specific aids or services?

Please provide specific needs. 

What is your arrival date?

(You are responsible for making your own hotel reservation, see the "Accommodations & Travel" page for more information.)

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What is your departure date?
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Is your college a member of the Achieving the Dream Network? [REQUIRED]
You may check your member status here.
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