If you wish to register as  a delegate please complete this form.

Personal Details
Name *
Gender *
Phone *
University & Residential Community Details
Are you a current university student? *
Emergency contact Details
Emergency Contact *
Emergency Contact
Emergency phone *
Emergency phone
Age verification
Delegates of the NAAUC National Conference must be 18 years or older as of the start date of the Conference for that year.
Will you be 18 years or older (as of 3rd of July 2016) *
Delegate Type
Is your Residential Community a member of NAAUC? *
Which type of delegate are you registering as? *
Have you attended a previous National NAAUC conference? *
Dietary and Medical Requirements
Do you have any dietary requirements? *
Do you have any medical conditions which conference organisers should be aware of?
Payment Details
Conference Policies
Do you accept to abide by our policies outlined in the "Our policies" tab at the bottom of the page. (Clicking 'I agree' acts on your behalf as an electronic signature) *