2023 Diversity Summit Attendee Registration

Date: Wednesday, June 14, 2023
Time: 10:00 a.m. – 4:30 p.m.
Location: Hyatt Regency

Price: $115.00

Please note that registration will close at 8:00 a.m. on Monday, June 12th.

2023 Diversity Summit Attendee Registration Form

Name (who is purchasing this registration?)*
First Last
Company/Organization/School*
Address*
Street Address City State ZIP Code
Email*
Phone*
Are you registering under a company's 2023 Diversity Summit Sponsorship?*
- Yes
- No
If yes, which company?
Number of Tickets*
Individual Diversity Summit Ticket*
Price: $115.00
Please re-enter the number of tickets you are purchasing in order to calculate your total cost at the bottom of this form.
Attendee #1 Name
First Last
Attendee #1 Email
Attendee #1 Lunch Selection
- Chicken
- Vegetarian
Attendee #2 Name
First Last
Attendee #2 Email
Attendee #2 Lunch Selection
- Chicken
- Vegetarian
Attendee #3 Name
First Last
Attendee #3 Email
Attendee #3 Lunch Selection
- Chicken
- Vegetarian
Attendee #4 Name
First Last
Attendee #4 Email
Attendee #4 Lunch Selection
- Chicken
- Vegetarian
Attendee #5 Name
First Last
Attendee #5 Email
Attendee #5 Lunch Selection
- Chicken
- Vegetarian
Attendee #6 Name
First Last
Attendee #6 Email
Attendee #6 Lunch Selection
- Chicken
- Vegetarian
Attendee #7 Name
First Last
Attendee #7 Email
Attendee #7 Lunch Selection
- Chicken
- Vegetarian
Attendee #8 Name
First Last
Attendee #8 Email
Attendee #8 Lunch Selection
- Chicken
- Vegetarian
Attendee #9 Name
First Last
Attendee #9 Email
Attendee #9 Lunch Selection
- Chicken
- Vegetarian
Attendee #10 Name
First Last
Attendee #10 Email
Attendee #10 Lunch Selection
- Chicken
- Vegetarian
Total
$0.00
Sign-up for DAP Newsletter
- Absolutely!
- No, thank you.
Event Policies
1. If you need to cancel your registration, 14 business days' notice prior to the Diversity Summit is required for a refund of your registration cost. No refunds will be made after this date for any reason. Substitutions will be accepted until Friday June 9th without additional charges. Please contact Tina Mahtani at tmahtani@dapinclusive.org with cancellations or questions.
2. By submitting this registration, I give DAP the permission to email me with information about the event.
3. I understand that by submitting my registration for this event, DAP will have permission to photograph and record me during my attendance. This photo and video content may be displayed for marketing and promotional purposes, including but not limited to the DAP website, social media, printed materials, and more.
Name
This field is for validation purposes and should be left unchanged.