IDEA Academy Registration
Please complete the form below.
Registrant
*
Attendee
Team Administrator
Full Name
*
First Name
Last Name
First Name as it should appear on Badge
Title
*
Agency
*
E-mail
*
example@example.com
Confirm E-mail
*
example@example.com
Work Phone
*
Please enter a valid phone number.
Cell Phone
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
A contact list will be shared with attendees after the program.
Opt out (Do not list my name or contact information on the contact list.)
Payment Method
Check - (Payable to Special Education Solutions, LLC) Skip fee schedule below. Submit form. Mail check to Special Education Solutions, LLC, Att: Deusdedi Merced, P.O. Box 1032, Weston, CT 06883.
Credit Card - Complete Fee Schedule below and submit form. Complete Payment page.
Team Attendee – Fee paid by Team Administrator. Skip fee schedule below. Submit form.
Payment Methods
Fees
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Main Conference - July 12-14, 2023
Individual
$
1,450.00
Add-on Basics Day - July 11, 2023
Individual
$
200.00
Group Registration - Main Conference - July 12-14, 2023
(For Team Administrator only. Must be 6 or more attendees.)
$
1,200.00
Quantity
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Group Registration - Add-on Basics Day - July 11, 2023
(For Team Administrator only. Must 6 or more attendees.)
$
200.00
Quantity
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
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