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Viva La Vida with A.T. 2026!

* Choose One (Required for Continuing Education Credits. Use General Registration to receive a Certificate of Attendance with no specific credits)

General Registration
Education: Higher Education, Admin, K-12, ECSE
Occupational Therapist & COTA
Physical Therapist
Recreational Therapist
Rehabilitation Counselor
Social Work
Speech Language Pathologist, Audiologist, SLPA
Vision Rehabilitation & Vision Specialist

Registration Type

Personal Information

Fill out the information below, then click Next to continue.

* First name

* Last name

* Preferred Email address

Checkbox selection for registering on someone else's behalf

I'm registering on behalf of this person

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* Attendee's Mobile

Add a country code with the + if outside of US and Canada (e.g., +4911111111). We'll use this for mobile login verification.

CC Email Address (to send a copy of this registration to another party or secondary email address)

* Company, Organization, Agency, or N/A

Job Title, Student, Consumer, Caregiver, or Other

Do you require an accommodations to participate in this event? (Requests must be received no later than 10-1-2026.)

Dietary Preferences (A variety of box lunches are provided on a first come, first served basis. This information helps guide the catering order. Meal preferences are not guaranteed.)

No Restrictions
Vegan
Vegetarian
Gluten-Free
Dairy-Free
Nut-free
Religious Restrictions

Preferred Address

Address 1

Address 2

Country/Region

United States of America

City

State/Province

ZIP/Postal code

* Emergency Contact Phone

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