CHILD
REGISTRATION

0-4 Years Old

"*" indicates required fields

Parent/Guardian Personal Info

Name*
Address*
Email*
Important: Make sure the "on site" number, above, is one we can just to reach you during the conference.

Child Information

Price: $150.00
Child Info*
Full Name
Age
Gender
 
Authorized Pickup: Names of those authorized to pick up your children
Name
Phone Number
 
Emergency Contact Name

Checkout

This is a flat fee in addition to a percentage for each credit card transaction.
Credit Card
PLEASE REVIEW ALL OF THE INFORMATION YOU'VE ENTERED BEFORE HITTING "SUBMIT", BELOW.