40th Anniversary VCCA Conference Registration Form - September 18-20, 2024  
Conference registration includes full access to all conference speakers and concurrent sessions, including the Town Hall Meeting with Chancellor Dr. David Doré; all meals and refreshments, including the Awards Banquet Dinner on Thursday evening; vendor expo; numerous networking opportunities along with all physical conference materials. 

Please note: 
* Lodging and other travel related expenses are NOT included in your conference registration fee.

* Be sure to get a $0 balance hotel receipt upon checkout for submission into Chrome River when you return. The link to book your hotel is on the VCCA conference page

*Refunds will be granted up to 30 days prior to the start of the conference, less the $25 VCCA membership fee. Any online registration refund issued will be minus the online transaction fees. Cancellations received less than 30 days before the start of the conference will not receive a refund. Substitutions are permitted if the original conference attendee is unable to attend. August 19, 2024 is the deadline date to cancel and request a refund.
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Email *
First Name *
Last Name *
 Name to appear on badge *
 First Time Attendee? *
 Possible Session Presenter? *
 College *
 Campus *
Telephone *
Are you a:   *
Check all that apply
Required
Conference Registration includes access to all conference materials and meals. It does NOT include your lodging expenses. 
*There is no partial day or onsite registration allowed.
 *
Current Membership Category *
Check all that apply
Required
Payment Method *
Please choose your payment method below
Required
Conference Meals (included in registration fee) *
In an effort to accurately plan and avoid food waste, please check only the meals you will attend. 
Required
Dietary Restrictions *
Do you have a severe food allergy? Please note this is NOT a food preference.
Clear selection
Please elaborate if you selected "Yes" to the previous question and have a severe food allergy
GUEST Attendee Meals *
If you will be bringing a guest, please check all meals they will be attending. *Please note - a separate payment for these expenses needs to be made directly to our treasurer. Contact info is listed on your confirmation page.
Required
GUEST Dietary Restrictions *
Does your GUEST have a severe food allergy? Please note this is NOT a food preference.
Clear selection
Please elaborate if you selected "Yes" to the previous question and your GUEST has a severe food allergy
Cancellation/No-Show/Refund Policy *
Per VCCS event policy: The VCCA will directly bill a college for the registration fee if an attendee is a No-Show or does not cancel their registration before the 30-day refund date (8/19/24). Do you understand this policy?
A copy of your responses will be emailed to the address you provided.
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