Registration

Please select the number of attendees you are registering for the Roundtable and provide a name, email address, and phone number for each attendee. If you are registering just yourself you will select 1 attendee and complete the information requested and list yourself as the primary contact. A person registering a group of people and who is not attending the conference will only list themselves as the primary contact.

The first 100 registrants will receive a free copy of the book, Meet ClaraBelle Blue, by our Keynote Speaker, Adiba Nelson.
This charming story reminds young children (ages six to eight) that people with special needs are not all that different from them.
So be sure to fill-in your mailing address in your registration form below.

After completing the below registration form you will choose your method of payment (PayPal/Check).

ALL SALES ARE FINAL – NO REFUNDS.

All sales benefit families in need, frontline workers, our local community members, and help sustain essential CPC programming and DVIP events.

Bookings are closed for this event.