Registration Form

For full details about this conference, including learning objectives and agenda, visit: https://selectivemutismcenter.org/event/selective-mutism-social-anxiety-in-the-school-conference-2019/
Date: Friday, May 1, 2020
 
Time: 8:00 AM - 4:00 PM EST *Registration Desk opens at 7:30 AM EST
 
Location: Gratz College (7605 Old York Rd, Elkins Park, PA 19027)
*6 Continuing Education Credits available for: ASHA, APA, ACT 48, NASP, SW, MFTs, LPCs.
*We require a valid student ID with all student registrations.
 
Early-Bird Registration Fees & Deadline April 3, 2020
In-Person Registration $180.00
In-Person Student Registration $50.00
In-Person Registration with Continuing Education Credits $195.00
Web-Streaming Registration $205.00
Web-Streaming Student Registration $65.00
Web-Streaming Registration with Continuing Education Credits $220.00
   
Regular Registration Fees  After April 3, 2020
In-Person Registration $225.00
In-Person Student Registration $75.00
In-Person Registration with Continuing Education Credits $240.00
Web-Streaming Registration $250.00
Web-Streaming Student Registration $90.00
Web-Streaming Registration with Continuing Education Credits $265.00
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Cancellation Policy:
Cancellations must be made in writing and sent to events@selectivemutismcenter.org by April 22, 2020 to receive a refund minus a $50 administration fee. Cancellations after April 22, 2020 will not be refunded. 
I agree to the cancellation policy. *

Please click continue to proceed to the payment page.

This registration uses PayPal to process credit card payments but you do not need to have a PayPal account. If you wish to pay by debit or credit card, continue to PayPal and select "Pay by Debit or Credit Card."

A confirmation email will be sent to the first email address listed on this form once you complete the application form. A second payment confirmation will be sent to you through PayPal once your credit card payment is processed.