Higher Education Colloquium for Early Care and Education 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name in the designated field. This is essential for identification during the event.
3. Fill in your phone number, ensuring it is accurate for any necessary communication regarding the colloquium.
4. Provide your address, including city and zip code, to facilitate any correspondence related to your registration.
5. Indicate your college or university affiliation along with your position and department to help us understand your background.
6. Enter your email address carefully; this will be used for sending confirmation and event materials.
7. If you require vegetarian meals, check the appropriate box provided on the form.
8. Select your registration fee based on the deadlines: $100 if registered by January 29, or $110 if by February 19.
9. Choose your method of payment. If using a credit card, fill in all required details including cardholder name, number, expiration date, and billing address.
10. Finally, sign where indicated to authorize payment and submit your completed form via fax or mail as instructed at the bottom of the document.

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