Online Registration

To register for the 7th Annual Symposium, please complete the form below and hit submit. You will receive an email confirmation that your online registration has been received.

Uta Halee/Cooper Village offers secure online registration to protect your privacy.

* Required Fields

* Name:  
* Degree/Licensure:  
* Title:  
* Company Name:  
* Employer Address:  
* City:  
* State:  
* Zip:  
* Day Phone:  
* Fax:  
* Email:  

Special needs (must be noted before May 1st)

Tuition (includes materials, lunch and breaks):

$75 Postmarked or submitted online after April 24th
      $85 Paid at the Door      

Note: Uta Halee is unable to invoice individuals or agencies. Individuals or agencies may register online or by mail. Registration must be accompanied by check or credit card.

Please bill my credit card:

* Credit Card Type:  

* Name of Cardholder:  

* Credit Card Number:  

* Expiration Date (MM/YY):    

If you have questions, please call Sonja McKay at 402-457-1398