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Attendee Registration Form

Local Education Agency (LEA) Name

Which role most closely aligns with your current position?

What Ward do you work in? (Find your ward here: https://planning.dc.gov/whatsmyward)

Which grade band most closely aligns with your current position? Check all that apply.

Below are the session titles for this year's conference, which are you most likely to attend? Check all that apply. This is not binding, nor it will affect the sessions you attend on the day of. Session descriptions will be distributed prior to the conference to help guide your personalized schedule.

Have you attended an OSSE Literacy Convening in the past?

How did you find out about this event?

Do you need any special accommodations for this virtual conference? (i.e. translation services, sign language interpreter, etc.)

"These sessions will be recorded for future reference and learning. I acknowledge the following consent release form for the virtual conference. "

I hereby irrevocably grant to the Office of the State Superintendent of Education (OSSE) and the District of Columbia, their successors, and their assignees the right to record my image and/or voice and use the artwork and /or written work on videotape, on film, in photographs, in digital media and in any other form of electronic or print medium and to edit such recording at their discretion. I further grant OSSE and the District of Columbia, their successors and assignees the right to use and allow others to use my image and/or voice on the Internet, in brochures and in any other medium and hereby consent to such use. I hereby release OSSE and the District of Columbia, their successors, and assignees using my image and/or voice, artwork and/or written work pursuant to this release from any and all claims, damages, liabilities, costs and expenses which I now have or may hereafter have by reason of any use thereof. I understand that the provisions of this release are legally binding.