PAL Conference 23 Discount

I am registering for the following 2023 PAL session:

Our Planning A Life conferences will be held on a Friday and a Saturday. On Fridays, presentations for parents and professionals will be virtual. On Saturdays, PAL for parents, professionals, and a separate program for youth with disabilities will be in-person. Your Zoom link will be listed in your confirmation email. The location address for in-person event is listed on the website.

First Name(Required)

Last Name(Required)

Email(Required)

Home Address/Street and Number(Required)

City/Town(Required)

State(Required)

Zip Code

Preferred Phone Number

Cell Phone

Home Phone

Work Phone

Primary Language(Required)

Other language(s) (optional)

My role: (check all that apply)(Required)

Parent/Parent Role

Professional/Educator (e.g., teachers, aide, support services public, charter and 766 schools)

Professional/Non-Educator (all service providers who work in an organization other than a school)

Student (14-22)

SESP

Other

What is your ethnicity?

What is the ethnicity of your child/youth with special needs?

What is your race?

If applicable, what is the race of your child with special needs?

Age of your child with disabilities?

How many family members are in your household?

What is your total household income?

What is the highest level of education that you have completed?

To which gender do you identify as? (optional)

If applicable, what is your child's disability? (optional grant question, please check all that apply)

Will you need any accommodations to participate in Planning A Life?

Would you like to be included on our Transition listserv?

Yes

Would you like to receive our monthly Transition-focused newsletter, ACCESS?

Yes

To subscribe to our other newsletters to go: https://fcsn.org/subscribe-to-newsletter/.

Second Family Member's First Name

Second Family Member's Last Name

Second Family Member's Email Address

If you are registering as a parent/caregiver, will your youth/young adult be attending our in-person session for youth/young adults on Saturday (no charge)?(Required)

Youth Information

Child's/Young adult's First Name(Required)

Child's/Young adult's Last Name(Required)

Youth's date of birth(Required)

Is youth's address the same as the parent/caregiver's address?

Yes

Please enter the name of youth participant’s educational program(Required)

Please tell us about the youth participant and how we can best support her/him/them during the activities.(Required)

Is there anything else you’d like us to know about you or your child/young adult?

Hidden

Email2

Discount

Enter Discount Code

Conference Fee

Cost: $95 for one parent/caregiver, $125 for two parents/caregivers, $125 for professionals and Youth attend free with a registered attendee (both virtual and in-person)

Planning A Life Conference Fall 2023 Discount

Youth Information

Discount

Your Support
Moves Dreams
Forward

PAL Conference 23 Discount

Planning A Life Conference Fall 2023 Discount

Youth Information

Discount

Your Support Moves Dreams Forward

Your Support
Moves Dreams
Forward