Family Registration Waiver Application - Division for Early Childhood Annual International Conference on Young Children with Disabilities and Their Families

Family Registration Waiver Application

Division for Early Childhood's Annual International Conference on Young Children with Disabilities and Their Families
Family Registration Waivers are available to family members of young children with disabilities between the ages of 0 and 8.

The waiver provides eligible family members with free conference registration. (The conference registration/registration waiver does not include any monetary funds, preconference workshops, special events, meals, travel, child care, or other accommodations.)

How does DEC define family member? Review DEC's guidance around the definition and usage of the term Family Member here.
Name*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
YesNo
What is your child's date of birth?*

MonthDayYear
Note: If you have more than one child with a disability, please provide the information for your youngest child.