The SHE Experience GALA: Attendee Registration Form

Attendee Information

Please put your first and last name.
This field is optional.
If yes, select which one(s) below.
Select all that apply.
Please describe which symposium you attended.
Do you require any special audio or visual needs?
Ex. Sign Language Interpreter
Do you have any dietary restrictions or needs?
Ex. Vegetarian/Vegan

Guest Information

At least (1) guest is required to attend the event.

Add entries for your guests above
If provided, we will use the address information to send guests thank you cards after the event.

Package Information

Registration Information

You will be redirected to our payment provider to purchase tickets.
Please make sure you use the same email address you used above.