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Event Registration Form

Event Registration

  • 2nd Annual Leadership Conference - Virtual & Live

    Lead from Where You Are on Friday, April 16, 2021

  • Price: $20.00
  • *If this box is selected you will receive an invoice for $20 by email.

  • Additional Questions

  • *

    Registrants will receive the link to access the virtual live conference and this will be strictly monitored. Please indicate the login/username/full name you will use to access the virtual conference link.

    Liability Waiver:

    All Participants Are Asked to Consent To: By registering for the 2021 ACE-WN-IN leadership conference, I agree and acknowledge that I am undertaking participation in these events and activities as my own free and intentional act and I am fully aware that possible physical injury might occur to me as a result of my participation in these events. I give this acknowledgement freely and knowingly and that I am, as a result, able to participate in the conference and I do hereby assume responsibility for my own well-being. I also agree not to allow any other individual to participate in my place.

    Permission for Recording and Social Media Use All Participants Are Asked to Consent To: The ACE-WN-IN, through itself or its contractors, may record all or portions of the events and functions at the ACE Women's Network of Indiana Leadership Conference, including through audio and video recording and photography, for the production of material distributed for a variety of purposes, including but not limited to educational, archival, or promotional purposes. By registering, you irrevocably grant the American Council on Education Women's Network of Indiana, its assignees and licensees permission to capture your image through photography, video, or any other means, and record your voice at any time and anywhere throughout the conference.

    If you would like to decline permission for the ACE-WN-IN to include you in any recorded material, you can request, in writing to [email protected], to be excluded and the ACE-WN-IN will make a good faith effort to remove you from any of the material that is published or otherwise publicly shared for promotional or educational purposes.

    I give consent for ACE-WN-IN to take my photo/video during the program for publicity and/or research purposes only.

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