ASCLS Attendee Registration

For 1-day registration--Please select which day Select all that apply Thursday only Friday Only

If registering as a member, you must provide your ASCLS member ID number. If you are not an ASCLS member, type "GUEST" * Maximum of 20 characters

Please type how you would like your name to appear * Maximum of 100 characters

Please indicate if you would like to request a dietary accomodation Select all that apply I do not have any dietary accommodation requests Vegetarian Vegan Food Allergy (please email specific allergy to secretary directly)

Are you willing to serve as a session moderator? Select all that apply Yes No Thank you