Literacy Is a Political Act

9:45 am - 12:00 pm

CARA requires a separate registration form for each participant. If you are paying for more than one participant, please ensure that all people in your group are registered. Thank you.

Anti-Harassment Policy

The Chicago Area Reading Association does not allow harassment or discrimination of any kind at any CARA-affiliated event. CARA and its affiliates will take appropriate and immediate action in response to complaints or knowledge of violations of this policy including expulsion from the event. To report an issue, please visit the Event Registration Desk.

Submission of this registration form constitutes your acceptance of and agreement to comply with this policy.

Name *

First Name Last Name

Email *

example@example.com

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Phone Number *

Area Code Phone Number

Name of School (required for clock hours)

District (required for clock hours)

IEIN (required for clock hours)

The Chicago Area Reading Association takes photos during its events for use in promotional materials and publicity efforts. If you do not want CARA or the Illinois Reading Council to use your photograph, please check the box below. Otherwise, by registering for CARA events, you are giving CARA and IRC permission to use your photograph in their promotional materials and publicity efforts. Photographs may be used in publications, print ads, direct-mail pieces, electronic media (e.g. video, Internet) or other types of promotion. CARA and IRC publish journals, newsletters, and other materials for educators at all levels.

Please check below if you do not want CARA or IRC to use your image, likeness or appearance in photographs for promotional purposes.

I do not want CARA to use my image in photographs.

Please select type of registration

If you have questions about using a Purchase Order, please contact our Treasurer, Joyce Jennings.

Please Select Payment Options - please check all that apply

Credit Card Check - made payable to Chicago Area Reading Association - Attention: Joyce Jennings, Treasurer, Chicago Literacy Alliance, Mailbox #1, 641 West Lake Street Suite 200, Chicago, IL 60661 CPS Purchase Order - Use Vendor #28261 - please enter PO number in space provided below Other Purchase Order - please enter number in space provided below. I am paying for multiple participants. Discounts for 5 or more are calculated in total. Please provide names and email addresses for additional participants below to confirm payments. My Principal is paying for my registration A Colleague is paying for my registration

10% discount for 5 or more participants from the same school! Discount is calculated in total for credit card payments. All other submissions, please calculate your payments accordingly.

Credit Card Payments

CARA Members and UIC Faculty $ 20.00

Quantity

Non-Members $ 35.00

Quantity

Registration + Membership Special - $60($65 value!) $ 60.00

Quantity

Student Registration $ 15.00

Quantity

Total $ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Principal's Name

First Name Last Name

Principal's Email Address

example@example.com

Please provide the Purchase Order Number

School Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Payor/Colleague's Name

First Name Last Name

Payor/Colleague's Email

example@example.com

If you are paying for multiple people, please submit the name and email address for each:

Attendee #1

First Name Last Name

Attendee #1's Email

example@example.com

Attendee #2

First Name Last Name

Attendee #2 Email

example@example.com

Attendee #3

First Name Last Name

Attendee #3's Email

example@example.com

Attendee #4

First Name Last Name

Attendee #4's Email

example@example.com

Attendee #5

First Name Last Name

Attendee #5's Email

example@example.com

Attendee #6

First Name Last Name

Attendee #6's Email

example@example.com

Attendee #7

First Name Last Name

Attendee #7's Email

example@example.com

Attendee #8

First Name Last Name

Attendee #8's Email

example@example.com

Attendee #9

First Name Last Name

Attendee #9's Email

example@example.com

Attendee #10

First Name Last Name

Attendee #10's Email

example@example.com