Conference Online Registration Form

Full Name*

First NameLast Name

Phone Number*

Area CodePhone Number

E-mail*

example@example.com

Address*

Street Address

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CityState / Province

Postal / Zip CodeCountry

Attendee*

For this year's conference, SOYSOM has titled conference tracks "I AM" and surnames of tracks listed on the form.

The "I am" a Professional track is geared towards medical professionals, mental health professionals, policymakers, business owners, behavioral health, educator, social workers, caseworkers, etc.

The "I AM' an Advocate track is geared towards doulas, birth workers, reproductive justice, etc.

The " I AM" Motherhood track is geared towards motherhood

The " I AM" Experienced track has included people who have experienced grief and loss, infertility, incarceration, brain injury, foster care, customers alike (grandparents, adoptive parents, aunts), survivors

" I AM" Conference Tracks*

ProfessionalAdvocateMotherhoodExperienced

Do you speak English fluently?*

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Attendance Verification*

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In- Person*

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Meal Preference*

ChickenBeefVegetable

Registration Options

Conference Registration $375.00

After Early Bird

One Day Pass$150.00

Please select a date

Virtual General Session$275.00

Virtual Student Pass$250.00

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Conference Registration Form