Registration: Hazing Prevention Symposium

If you have question before completing registration, please contact Todd Shelton, Executive Director.

Registration is open until May 22 or until capacity is reached. Attendance is capped at 25 participants to provide the optimum dialogue and experience.

Name *

First

Last

Email *

Cell Phone *

Institution/Organization *

Job Title or Volunteer Role *

Do you have at least 10 years in the field *

Pronouns

Accessibility needs, allergies and/or dietary needs

Symposium Registration

Price: $ 229.00

Complete Payment

Provide credit card information below to complete payment.

If you are required to pay by check, submit form without providing credit card information and mail check for the total amount listed below to:

Hazing Prevention Network
11722 Allisonville Road, Ste 103, Box 355
Fishers IN 46038

Registrations will not be confirmed until payment is received.

Total Due:

Total

$ 0.00

Credit Card Information

Card

Name on Card