Division for Early Childhood (DEC) Early Intervention Service Coordinator Virtual Institute Registration

Division for Early Childhood (DEC) Early Intervention Service Coordinator Virtual Institute Registration

Registration for the One Day Institute taking place on May 2, 2025
Thank you for your interest in the DEC Virtual Service Coordinator Institute!

We're excited to have you join us!

Registration for the Insitute is a two-step process.
1. Complete payment via Credit Card or place a Purchase Order.
2. Complete a brief Zoom Registration form.
  Additional instructions on this step are included on the final page of this form.
Please select your preferred payment type below. Once you have made your selection, you will be able to complete registration for yourself or your group.

Note: If you are using a coupon code and not paying with a purchase order, please select Credit Card below. You must enter the coupon code and hit Apply.
Payment Type*

Purchase OrderCredit Card
Please click here to submit your purchase order.
Please hit next below.

Order and Payment Information

Note: Your payment will not be processed until you complete the registrant contact information on the next page and hit submit.
Registration Selection*

I am registering an individual (myself or someone else).I am registering a group of 4 people or fewer.I am registering a group of 5 people or more.

Registration Items*

Registration (Non-Member)This registration is available for an individual who is not a DEC member. Use this option for registering one to four individuals at one time.

$75.00 Quantity
Item subtotal:$0.00

Registration (DEC Member)This registration is available for one individual who is a current CEC & DEC member at the time of registration. Use this option for registering one to four individuals at one time.

$50.00 Quantity
Item subtotal:$0.00

Registration for a Group Member Product Image

Registration for a Group MemberThis registration is available for one individual registering as part of a larger group registration. Use this option for groups of 5 or more.

$50.00 Quantity
Item subtotal:$0.00

Enter coupon

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Billing Contact Information
Name*

First NameLast Name
Email*
example@example.com
Organization (if applicable)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Registrant Contact Information
Registrant Name*

First NameLast Name
Registrant Email*
example@example.com
CEC/DEC Member ID (if applicable)
Group Registrations

If registering multiple attendees, download this form template. You will need to enter the names and email addresses for all of your attendees. DEC will use this information to verify attendance on the day of the event.

Once you have completed the information on the template, please upload your completed spreadsheet below.
File Upload*

Accepted file types: xls, xlsx, cvs
Cancelof

IMPORTANT: You must read the instructions
below before hitting submit.

Following payment each attendee must complete the brief zoom registration form (individuals and group members).
Once you hit the submit button below, your registration payment will be processed and you will receive a Zoom link and confirmation email.

Please complete this additional zoom registration to receive your custom URL. This link will be specific to your name and email address.
Once you hit the submit button below, the registration payment will be processed and you will receive a Zoom link and confirmation email.

You will need to share this link with your registrant list so that each individual can receive their individualized custom Zoom link.

Given the large number of individuals registering for this event, each individual attending must complete the Zoom registration.
NOTE: Links cannot be shared from one individual to the next. If more than one individual uses the same custom link, they will be removed from the event. An individual can join the event from only one device at a time.
I have read the instructions listed above and I confirm that I will click on the zoom link to register myself on Zoom OR I will forward the Zoom link to my group members so that they will register themselves on Zoom. I understand that completing this final step is the only way I/my group members will be able to access the event.*

Yes
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