2020 IC3 Regional Forums - Registration for High School Delegates
The registration is exclusively for full-time high school employees and counselors
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Personal Information
First Name : *
Last Name : *
Professional Title/Designation : *
School Name : *
Email : *
School Address : *
Work Phone : *
Cell Phone *
Registration Questions
Please select the curriculum(s) offered at your school (note: you can select more than one choice): *
Required
How many students do you have in grade 9 through 12 in your school? *
How many students do you have only in grade 12 in your school? *
Are you planning to submit a session proposal(s) for the Regional Forums you will attend? *
If you are not submitting a session proposal(s), would you be interested in learning about opportunities to join the panel of an existing session(s)?
Clear selection
Where did you learn about the IC3 Regional Forums? *
Required
Are you interested in learning more about volunteer opportunities with IC3?
Clear selection
2020 IC3 Regional Forums Options
You would like to attend the 2020 IC3 Regional Forum in *
Terms and Conditions
By registering for the IC3 Regional Forum(s), attendee agree to share their contact and demographic information set forth on their registration form with UnivAssist Inc. (Organiser) and authorizes certain attendee information (name, title, organization, state and country) to be reflected in the delegate list available to all attendees. Organiser will not share other information with third parties without the attendee’s consent except with the IC3 Regional Host School. All IC3 Regional Forum attendees irrevocably consent to the use of the attendee’s image and name in all forms and media (including, but not limited to, photographs and/or video produced during the forum) by Organiser and its assigns, licensees, and successors, including advertising throughout the world, in perpetuity. Organiser is permitted, although not obligated, to include attendee names as a credit in connection with the images. The registered attendee/Organization agrees and acknowledges that Organiser, its affiliates, subsidiaries, members, agents, directors, officers and employees, shall not be liable for any damages, losses and/or expenses (including costs of litigation and attorney’s fees) arising out of or occurring in connection with his, her or its participation in the IC3 Regional Forum(s) and including, but not limited to, injury to person (including bodily injury, sickness, disease, emotional injury or death) and loss or damage to property, regardless of whether such injury, damage or loss results from accident, sickness, acts of war or terrorism, quarantine, natural disaster, or any other cause whatsoever, and whether directly or indirectly within or beyond Organiser's control. In the event Organiser is unable to conduct the 2020 IC3 Regional Forum(s) due to any cause beyond its control, the registered attendee(s)/Organization hereby acknowledge and agree that he, she or it shall not be entitled to a refund but, instead, any amounts paid shall be credited towards a rescheduled IC3 Regional Forum(s). Organiser shall not be responsible for any IC3 Regional Forum change for any reason(s) including, but not limited to, safety, security, weather, natural disaster, pandemic or other public health crises, strikes, hostilities, terrorism, civil unrest, airport closings, late air, sea, car or motor coach departures or arrivals, travel warnings/advisories or other applicable governmental advisories. Organiser will not provide any compensation, refund or credit for any charges, fees or expenses paid or owed directly to third parties by any registrant (such as air travel booked directly with an airline) in connection with a cancelled trip or an itinerary change for any reason. Registration fee, if any, is non refundable.
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