2024 Circle of Support Conference Registration 1Contact2Registration3Child Care4Workshops5Meals6Payment Name(Required) First Last Company Name(If Applicable) Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email(Required) Phone(Required) Registration DetailsRegistration Type:(Required)ParentProfessionalBoth Parent and ProfessionalSelf-AdvocateFull-Time Student1/2 Day AttendeeTranslation Services Needed:(Required)Foreign Language or ASL translation? Yes No What Lanaguage do you need? Child Care DetailsDo you need Child Care?(Required) Yes No How many Children?12344Child DetailsKnown AllergiesAdditional Details Workshop SelectionsWorkshops have limited available spaces for participants. If the workshop is listed here, it is still available for registration. Full Workshops are hidden from the list and cannot be selected.Workshop Review(Required) I have read the Conference Overview and Workshop Descriptions.Workshop Session 1 Finding Resilience at the Intersection of Disability & Trauma Legal Matters in Special Needs Planning Helping Kids (and Parents) Manage Their Anger Self-Determination: The Family Perspective SPIRIT Club: Accessible Fitness for All Exploring the Benefits of Visual Art Virginia’s Medicaid Waivers: What Every Family Needs to Know Turning 18 in Virginia: What Individuals with Disabilities Need to Consider Helping Your Child with At-Home Work Parent Partnerships The Perfect Storm: ADHD, Autism, and Sensory Processing Ending the Silence about Mental Health Driving Progress with SMART Goals Moms Sharing with Other Moms Workshop Session 2 Who Let the ANTS Out? Managing Anxiety & Negative Thoughts Introduction to ABLEnow Sensory Processing: Understanding Sensory Systems to Provide a Foundation for Learning Parenting with Purpose: Techniques for Taking Control of Your Time Understanding the Dynamics of Cyberbullying Technology & Our Youth The Power of Data AAC & Me: Communication & Body Autonomy Tools in the Capacity Toolkit: Powers of Attorney vs. Guardianship The Perfect Storm: ADHD, Autism, and Sensory Processing Autism & Sleep Understanding the Impact of Prenatal Exposure to Alcohol & Other Drugs The Power of Music in Our Circle of Support Know Your Rights: Medicaid Service Denials & Appeals A Parent’s Guide to Building Friendships for Your Loved Ones Lunch SelectionsAll lunches include sandwich or salad, chips, cookie, and a drink.Lunch Selection Ham Classic Sandwich Roasted Turkey Classic Sandwich Chicken Salad Sandwich Roasted Tomato and Cheddar Sandwich Honey Baked Cobb Salad Payment DetailsCouponIf you've been given a coupon code, you can apply it here. Total Fee Credit Card DiscoverMasterCardVisaSupported Credit Cards: Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name EmailThis field is for validation purposes and should be left unchanged. Δ
