COUNCIL FOR EXCEPTIONAL CHILDREN CHAPTER 102

Names of people in your party

Reservations for CEC's Exceptional Student & School Professional Banquet

Please complete the following registration form. Be sure to complete all fields. Please complete this form prior to submitting payment.

Name: *

Payment Options:

Please complete the registration form prior to submitting payment.

Cash payment will also be accepted at the door.

Email: *

Check here to receive email updates

Phone

@Kara-Clark-77

School/Nominee you are supporting

Number of people in your party