SLLC 2024 Registration

Primary Contact Information

This will be the person we can contact with questions and communication about the 2024 SLLC program.

Contact Name*

First Last

The Primary Contact will be one of the participants in the SLLC from this organization.

Yes
No

Email*

Phone*

Company/Organization*

Enter your Company or Organization Name. If you are not affiliated with a Company or Organization, enter NA.

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Registration Type - Virtual-only*

Select the registration level that best reflects your participation by organization type or individual registrant. (Virtual-only: Attendance at 3 virtual sessions)

Registration Type - Virtual + In-person*

Select the registration level that best reflects your participation by organization type or individual registrant. (Virtual + in-person: Attendance at 3 virtual sessions and 1 in-person session)

Interested in sending more people?

Yes, please contact me about sending more than 4 participants

Invoicing Request

An invoice will be emailed on or about May 10, 2024, for the full amount for participation to the primary contact unless special accommodations are requested. Special accommodations may include changes to billing terms, different contact or mailing information, credit card options, requests for changes to the participation fee due to budgetary limitations, etc.

May we publicly list your organization name as an SLLC member?*

Yes
No
Contact me to understand how this info would be used

Tell Us How the SLLC Can Best Serve You

What interests you in participating in the SLLC at this time?

What do you want to achieve and/or experience in the SLLC? Please note anything you especially want to accomplish or an outcome you expect by participating.

Participant Names

Please include the names of the participants below. If you are the Primary Contact and indicated that you are one of the participants, you do not need to enter that information again.

Our organization will be sending the SAME people to each SLLC each session.*

Ideally, the same participants will attend each session. If you know the names and emails of each participant enter them below. If you do not have participant information at this time, we will connect with the contact person on the form by May 10, 2024, via email.

Yes
No
I don't know at this time

Participant Name #1

First Last

Participant #1 Email

Particpant Name #2

First Last

Participant #2 Email

Particpant Name #3

First Last

Participant #3 Email

Participant Name #4

First Last

Participant #4 Email

May we share the name and organization of each attendee in the member-only directory?*

Yes: Contact person name only
Yes: Each participant
No: Do not share our organization name, contact name or email address with other SLLC members

Phone

This field is for validation purposes and should be left unchanged.

Register for SLLC 2024!

Primary Contact Information

Tell Us How the SLLC Can Best Serve You

Participant Names

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