Clone of 2026 NCASRO Conference Registration Form

2027 Conference Registration Form

Fill out this form carefully, ensuring your name matches the spelling on your NCJA Portal Account. If registering multiple attendees, please use each person's email address. They will receive important conference information and updates throughout the year. You are now required to include your NCJA Acadis number as well. Please have all the information before filling this out. Please do not sign up if you are unsure about coming.
Refunds must be requested by July 2, 2027. No refunds will be issued after this date.
First Name
Middle Name
Last Name
Birth Date

MonthDayYear
Last 4 of SSN
Heading
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Officer E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Agency
Agency Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Agency Number
Format: (000) 000-0000.
NCJA Acadis #
Region:
Shirt Size
How will you be paying your registration fee of $350?
If you chose "Online" please enter the name of the person that will be making the payment. We frequently have payments made by the department's training officer, supervisor, or financial secretary that do not include the name of the officer they are paying for which complicates the process of finalizing the accounts payable.
Is this your first time attending the NCASRO Conference?
Additional Comments (special dietary needs, etc...)
Should be Empty:

2027 Conference Registration Form