IATDP Charlotte Conference Registration

International Association for Truancy & Dropout Prevention Conference Registration

The Westin Memphis Beale Hotel- Memphis, TN - October 19 -22, 2025
Indicate your state*
Name of Attendee *

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
example@example.com
Phone Number*
School District/Organization*
Role/Title*
Is this your first time to attend this conference?*

YesNo
Do you require CEUs?*

YES - I need a Continuing Education Certificate.NO - I do not need CEUs
Do you require HEARING OFFICER TRAINING?*

YES- I AM SIGNING UP FOR HEARING OFFICER TRAINING- SUNDAY, OCTOBER 19, 2025. This training has three sessions. Attendees must attend all 3 sessions to receive the training certificate. Space is limited.NO - I DO NOT NEED HEARING OFFICER TRAINING.
Are you interested in signing up for the Board of Directors to represent your state?*

YES- I want to serve on the Board of Directors.NO - Not at this time.
Payment Option*

Check/Purchase Order (P.O.)Credit Card

Conference Registration BY CREDIT CARD - All conference attendees must register individually. Conference Registration includes Membership to IATDP for one year. A 2.95% Processing Fee Applies to each Credit Card Payment.

Memphis Conference Registration Individual Registration

$550.00 Quantity

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Credit Card

Conference Registration for Payment by Check/PO)- All check or purchase order payments with a copy of your invoice(s) must be mailed to: Attn: Brian Hartsell, IATDP Treasurer, 2025 Memphis Conference, 2808 Red Ellis Lane, Knoxville, TN 37924

Conference Registration Fee BY CHECK /P.O per individual - $550
ADDITIONAL INFORMATION:

IATDP W-9 Form: http://iatdp.org/wp-content/uploads/2023/08/Updated-IATDP-W-9.pdf

INVOICE: If you do not recieve an invoice, email iatdp1911@gmail.com.

Refund Policy: No refunds will be issued. Registrations are transferrable to another attendee.

CHECK/P.O. PAYMENTS: All checks must be recieved by September 19, 2025. No onsite payments will be accepted unless prior approval is received in writing by the treasurer.

CHECKS ARE MAILED TO: ATTN: BRIAN HARTSELL, IATDP TREASURER, 2025 MEMPHIS CONFERENCE, 2808 RED ELLIS LANE, KNOXVILLE, TN 37924.

MULTIPLE REGISTRATIONS PAYING BY CHECK: If your organization has multiple registrations and paying by one check, you can mail one check with each individual invoice totaling the registration amount. Example: 5 individual registrations x $550 = $2750.

International Association for Truancy & Dropout Prevention Conference Registration

Credit Card