Early Learning Conference 2019 Registration Name *I select to attend: *Conference Track 1: On Day 1, I will attend keynote sessions and activities. On Day 2, I will attend keynote sessions and activities. School or Educational Affiliation *Contact Email Address *Contact Phone Number *Grades you most regularly work with (select all that apply): *Pre-KK-56-89-12Do you require ECE credits for this conference? *YesNo If yes, please complete the DOB and SSN information below:Date of Birth:Last four digits of your social security number:Please list any dietary restrictions in detail:CommentRegister