Leadership Workshop & Pre-Workshop Registration (Member)
Deadline to Register is Thursday, January 9th 5:00pm (CT)
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Emergency Contact Person and Cell Phone Number
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I plan to partake in the following food/beverage events:
*
Reception & Poster Session (Thursday, Jan. 30, 2025)
Lunch (Friday, Jan. 31, 2025)
Lunch (Saturday, Feb. 1, 2025)
Closing Reception & Awards Dinner (Saturday, Feb. 1, 2025)
Please indicate your meal preference for any meals/receptions:
*
No preference
Gluten Free
Gluten Free/Dairy Free
Vegan
Vegetarian
Other
Please select your preference for the Saturday night Closing Reception and Awards Dinner:
*
Chicken
Salmon
Dietary Restriction Option
Are you registering a guest?
*
Yes (Be sure to check the "Guest" box on ticket Registration Fees below)
No
Please tell us your guest's name and pronouns
*
Guests are ONLY invited to attend the Reception & Poster Session and/or the Closing Reception & Awards Dinner, NOT the lunches or meeting sessions.
My guest will attend the following food/beverage functions:
*
Reception & Poster Session (Thursday, Jan. 30, 2025)
Closing Reception & Awards Dinner (Saturday, Feb. 1, 2025)
Please indicate your guest's meal preference for the receptions:
*
No preference
Gluten Free
Gluten Free/Dairy Free
Vegan
Vegetarian
Other
Please select your guest's meal preference for the Saturday night Closing Reception and Awards Dinner:
*
Chicken Breast
Salmon
Dietary Restriction Option
Please tell us anything we need to know about you (or your guest) in order to provide an excellent experience.
AKA Member Leadership Workshop Tickets
*
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Pre-Workshop - Graduate Education Network
$
150.00
Pre-Workshop - Undergraduate Network
$
150.00
AKA Leadership Workshop
$
450.00
COMBO TICKET - AKA Leadership Workshop + Pre-Workshop (Undergraduate Education Network)
$
550.00
COMBO Ticket - AKA Leadership Workshop + Pre-Workshop (Graduate Education Network)
$
550.00
Guest
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Donation to AKA (Increments of $25)
To support Leadership Institute Fellows from HBCU/HSI Institutions
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
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