ACL Research Retreat Registration

ACL Research Retreat IX March 17th – 19th, 2022

High Point University and UNC Greensboro are pleased to co-host the ACL Research Retreat IX: The Pediatric Athlete. Please fill out all required fields to register for this event. For any questions regarding registration, email Amber Mason at amason2@highpoint.edu.

	Early Bird	Registration	Later or Onsite
	Before 1/15/2022	1/15-2/15	After 2/15/2022
Professional	$500.00	$550.00	$600.00
Student	$350.00	$400.00	$450.00

Rate includes retreat materials, and all meals (Thursday night reception, and breakfast, lunch and dinner on Friday and Saturday).

Cancellation requests received prior to March 1st, 2022 are eligible for a 50% refund. There will be no refunds for cancellations after March 1st.

Registrant Information

Please Select(Required)

Student

Professional

Academic Letter(Required)

Drop files here or

Accepted file types: pdf, jpg, Max. file size: 2 MB.

Letter from academic Advisor, Course Schedule, etc. Must be a pdf or jpg no larger than 2mb

Name(Required)

Prefix First Last

Title

Preferred Badge Name(Required)

Affiliated Company or University(Required)

Mailing Address

Street Address Address Line 2 City State ZIP Code

Phone

Enter Email Confirm Email

Dietary restrictions

Special Dietary Needs

Please list your needs out

Business Professional Ticket

Price:

After January 15th - $550 | After February 15th - $600

Student

Price:

After January 15th - $400 | After February 15th - $450

Total

Billing Information

Billing Name

First Last

Billing Address

Street Address Address Line 2 City State ZIP Code

Billing Phone

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

HOTEL RESERVATIONS: Rooms at the Courtyard By Marriott are being held at $129/night + tax, if booked prior to March 1st, 2022. Tell Courtyard by Mariott that you are with the ACL Research Retreat at High Point University to receive this special rate. After March 1st, call Courtyard by Marriott at (336) 882-3600 and mention the ACL Retreat at High Point University to receive a 20% discount at their current rate.Courtyard Marriott High Point .

Comments

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