Congratulations {{first_name}}, you have successfully registered for the One Child, Many Hands 2019 Conference to be held June 5-7, 2019.

Your confirmation number is {{confirmation_number}} and an email has been sent to {{email}}.

If you are paying by check, please do the following:

• Make check payable to “Trustees of the University of Pennsylvania”
• Include your name on the Memo line
• Mail the check to:

One Child, Many Hands
3815 Walnut Street
Philadelphia, PA 19104

The details of your registration are included below and in your confirmation email.

What type of registration would you like to purchase?

First Name

Middle Initial

Last Name

Title

Agency

Address Line 1

Address Line 2

Room or Suite

City

State

ZIP

Phone

Special Needs accommodations?

Yes

Explanation of Needs

Conference Registration

Conference {{prettyType}} Registration
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${{ registrationFee }}

Additional Activities

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{{ a.description }}

${{ a.fee }}

Continuing Education (optional)

{{ ce.additional_info_title }}

No selection

{{ ce.name }} ({{ ce.ceus }} CEUs)

${{ce.fee}}

Registration Subtotal

$ {{ subtotal}}

{{workshop.name}}

Choice {{n}}

Registration

Continuing Education: {{ registrationForm.ceu }}

Add a tax deductible contribution to the Field Center

Discount Code

${{registrationFee.toFixed(2)}}

${{ getActivityFee(a) }}

${{ getCeuFee(registrationForm.ceu) }}

Total Registration Fee Due:

${{ total.toFixed(2) }}

Payment Method

Credit Card

Check

Registrant Information

First Name	{{registrationForm.firstName}}
Middle Initial	{{registrationForm.middleInitial}}
Last Name	{{registrationForm.lastName}}
Title	{{registrationForm.title}}
Agency	{{registrationForm.agency}}
Address 1	{{registrationForm.address1}}
Address 2	{{registrationForm.address2}}
Room or Suite	{{registrationForm.roomOrSuite}}
City	{{registrationForm.city}}
State	{{registrationForm.state}}
Zip	{{registrationForm.zip}}
Phone	{{registrationForm.phone}}
Email	{{registrationForm.email}}
Special Needs	{{registrationForm.specialNeeds}}
Special Needs Explanation	{{registrationForm.specialNeedsExplanation}}

Credit Card

Name on Card

Credit Card Number

Expiration Month

Expiration Year

CCV

Billing Address

Same as Registrant Address

Address Line 1

Address Line 2

City

State

ZIP

First Name	{{registrationForm.firstName}}
Middle Initial	{{registrationForm.middleInitial}}
Last Name	{{registrationForm.lastName}}
Title	{{registrationForm.title}}
Agency	{{registrationForm.agency}}
Address 1	{{registrationForm.address1}}
Address 2	{{registrationForm.address2}}
Room or Suite	{{registrationForm.roomOrSuite}}
City	{{registrationForm.city}}
State	{{registrationForm.state}}
Zip	{{registrationForm.zip}}
Phone	{{registrationForm.phone}}
Email	{{registrationForm.email}}
Special Needs	{{registrationForm.specialNeeds}}
Special Needs Explanation	{{registrationForm.specialNeedsExplanation}}
Total Paid	${{realTotal}}

Back Next

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Conference Registration

Additional Activities

Continuing Education (optional)

Registration Subtotal

$ {{ subtotal}}

{{ day }}

Total Registration Fee Due:

${{ total.toFixed(2) }}

Registrant Information

Credit Card

Billing Address