Conference Registration Form Please enable JavaScript in your browser to complete this form.Conference Attendee InformationName *FirstLastPosition Title *Email *Affiliated Organization (if any) *Mobile Phone *Home Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDo you hold a leadership position in an organization or department of an organization?Do you consider yourself an advocate/activist who supports the following causes:Social JusticeClimate Change and Environmental JusticeArts & CultureOtherAre you involved in any advocacy and/or activism projects in your local community?Is there a particular advocacy/activism project that you would like to have us highlight at the conference?How did you hear about the Conference? *Social MediaFriend or FamilyMailed BrochureSearch EngineOnline AdvertisementEmail NewsletterEvent or ConferenceWebsiteYour local arts councilOtherSchedule & Payment InformationEntire Weekend (Thursday-Sunday)ThursdayFridayFriday, Breakfast & Opening Meeting onlyFriday, Seminars / Roundtables / Report-OutsSundayPromo CodeConference Registration Fee (Entire Weekend) *Price: $215.00CompPrice: $0.00DWCCFRIEND1CompPrice: $0.00DWCFARTIST1HSBA200 Discount (Entire Weekend)Price: $200.00HSBA MembersCAC165 Discount (Entire Weekend)Price: $165.00MAPA165 Discount (Entire Weekend)Price: $165.00CHARLES165 Discount (Entire Weekend)Price: $165.00INDUSTRY165 Discount (Entire Weekend)Price: $165.00MADEO165 Discount (Entire Weekend)Price: $165.00MACREATE165 Discount (Entire Weekend)Price: $165.00AL165 Discount (Entire Weekend)Price: $165.00CCF165 Discount (Entire Weekend)Price: $165.00MCC165 Discount (Entire Weekend)Price: $165.00BCA165 Discount (Entire Weekend)Price: $165.00CPC165 Discount (Entire Weekend)Price: $165.00EB165 Discount (Entire Weekend)Price: $165.00IRVING165 Discount (Entire Weekend)Price: $165.00COFT165 Discount (Entire Weekend)Price: $165.00YDP165 Discount (Entire Weekend)Price: $165.00AB165 Discount (Entire Weekend)Price: $165.00Thursday Registration FeePrice: $25.00Friday Registration FeePrice: $120.00Entire DayNon-profit employee / Student Rate: NPS95 (Friday)Price: $95.00Friday OnlyFriday Registration FeePrice: $45.00Breakfast & Opening Meeting onlyFriday Registration FeePrice: $75.00Seminars / Roundtables / Report-OutsSunday Registration FeePrice: $95.00Name on Card *FirstLastCredit Card Information *Card NumberMM123456789101112Expiration/YY2526272829303132333435Security CodeBilling Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSubmit Questions? Contact Isobel Chang, Marketing Director at ichang@ballettheatre.org or call 617-945-1944.
