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PERSONAL INFORMATION

State Representing

PARTCIPATION QUESTIONS

Arts Education Partnership at Education Commission of the States will do our best to accommodate dietary needs working with the caterers.

Do you have any dietary needs?

Please select your dietary preferences. (Check all that apply)

Do you require meals that meet religious dietary laws?

For your religious dietary requirements:

I require specially prepared certified meals

I can select from standard buffet options with ingredient information

I will make my own meal arrangements

Do you have any food allergies?

Please select your food allergies. (Check all that apply)

Please indicate food allergy severity:

Mild discomfort (I can manage by avoiding specific ingredients)

Moderate reaction (I need clear ingredient information to make safe choices)

Severe reaction (I carry emergency medication such as an epi-pen)

Life-threatening reaction (I require significant accommodation for my safety)

What are your goals for the meeting?

Make new connections in arts education

Learn about the work of others

Share about your own work

Learn more about the topic for the meeting

Do you require any accommodations or support to fully participate in this conference?

To ensure your full participation and comfort at this conference, please indicate any accommodations or support you may need. Select all that apply:

Captioning Services

Lactation/Nursing Room

Large Print Materials

Mobility Assistance

Prayer/Meditation Room

Sensory Break Space (quiet room for those needing reduced stimulation, not for work)

Sign Language Interpretation

Wheelchair Accessibility

Are you interested in the guided museum tour?

We will be taking photos throughout the event for social media and promotional purposes. Do you consent to having your photos taken and used to promote AEP events?

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Registration Form

PERSONAL INFORMATION

PARTCIPATION QUESTIONS