Register

Onsite (in-person) payments will not be accepted. All registrations must be completed online by Tuesday, May 28, 2024

Full symposium details at: https://srcld.wisc.edu/

Early Bird Rates through Tuesday, April 30, 2024

Student $175.00
Non-Student $360.00

After Tuesday, April 30, 2024

Student $210.00
Non-Student $395.00

First Name

Last Name

Affiliation Please enter only a primary affiliation.

Department

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Street

City

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Country

Phone

Contact Information

Registration Information

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Comments

Demographic Information

Please provide the following demographic information about yourself. This information is used to ensure our programming is reaching a diversity of audiences and to fulfil our obligations as a recipient of federal funding. You reserve the option to not provide this demographic information. Should you choose to not provide this information, please choose "Prefer not to respond."

Please indicate your race I identify as:
(check all that apply)

Please indicate your ethnicity Choose only one answer:

  Hispanic or Latino
  Not Hispanic nor Latino
  Prefer not to respond

Please indicate your sex Choose only one answer:

  Female
  Male
  Non-binary
  Prefer not to respond

Supported in part by: NIDCD and NICHD, NIH, R13 DC001677, Margarita Kaushanskaya and Audra Sterling, Principal Investigators

University of Wisconsin-Madison – Department of Communication Sciences and Disorders