Student Registration Form – 2019 Annual Conference 2019 Annual Conference - Online Registration (Full-Time Students) Are you a full-time student, currently enrolled with a valid student ID?*Yes, I am a FULL-TIME student.Full-time students, upon submitting a current ID, are eligible for having the conference fee waived. This does not include cost of the luncheon (which is optional). Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone Number*Email* Students: Please upload a copy of your current ID, validating full-time status.*Student Luncheon Fee (optional)If you are a full-time student registering for the conference, the conference fee is waived, but this does not include the cost of lunch. If you would like to purchase a ticket for the luncheon, please do so here. Price: $20.00 Quantity: * * * Additional Activities * * *Sunday - LA Creole's 15th Anniversary Celebration (Members)(Optional) Sunday, October 27, 2019 * 5:30 PM - 8:30 PM 15th Anniversary Celebration at the Autocrat Club 1725 St. Bernard Ave, New Orleans 70119 * Cash Bar Price: $10.00 Quantity: Sunday - LA Creole's 15th Anniversary Celebration (Non-Members)(Optional) Sunday, October 27, 2019 * 5:30 PM - 8:30 PM 15th Anniversary Celebration at the Autocrat Club 1725 St. Bernard Ave, New Orleans 70119 * Cash Bar Price: $15.00 Quantity: Donations to LA Creole are TAX DEDUCTIBLE.No Donation$25 Twenty-five Dollars$50 Fifty Dollars$100 One Hundred Dollars$500 Five Hundred DollarsThank you for your generosity!Total $0.00 CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.