Please note that your contact information will be shared with the other conference participants.
Salutation (Mr., Ms., Dr., Rev., etc.):
Middle Name or Initial (optional):
Suffix (Jr., Ph.D., etc.):
How would you like your name to appear on your name tag? Please include your last name.
Organization or School:
Address (line 1):
Address (line 2):
State or Province:
Country (if not U.S.):
Zip Code or Country Code:
Please provide us with a brief one-paragraph bio which we will share with other conference participants. Please limit your bio to 100 words. We suggest that you write your bio in a separate program and
cut & paste it into the field below.
If more than 100 words are provided, we will edit the text without your input.
Diversity among conference participants and presenters is very important to us. The following information will help us determine how we are doing on attaining our goals.
What is your gender?
What is your age?
under 18 ? 18 - 25 ? 26 - 35 ? 36 - 45 ? 46 - 55 ? 56 - 65 ? over 65
What is your race/ethnicity? (Latino, white, etc.)
Do you have any special needs that we should be aware of in order to make sure you are comfortable and are able to fully participate?
Examples would be wheelchair assistance, vegetarian food, etc.
Will you be participating in the conference?
Only select "no" if you choose not to participate in the main conference and only plan to attend a pre-conference activity. Please note that the registration fee covers some meals, but does
not cover your lodging.
?Yes? ?No Early Registration Fee: $300 until June 26th. The registration fee will increase to $450 on June 27th, 2006.
Will you be participating in a pre-conference activity on August 3rd, 2006?
If you wish to attend a pre-conference activity, select one below. For more information about each, look over the
pre-conference training descriptions (this will open in a new browser window).
Please leave this option selected if you will not be participating in an activity on August 3rd.
I will not be attending a pre-conference activity.
?Option One ??$125
Choosing Deliberative and Dialogue Techniques that Work
Janette Hartz-Karp, 21st Century Dialogue
The World Caf?: The Art of Hosting Conversations That Matter
Ken Homer and Nancy Margulies, The World Caf?
Tailoring Dialogue To Cultural Contexts -- A Collaborative Exploration
Meenakshi Chakraverti, Public Conversations Project
Compassionate Listening: Bringing Our Hearts to Dialogue and Deliberation Work
Rachel Eryn Kalish, M.C. and Susan Partnow, The Compassionate Listening Project
There will be two half-day pre-conference trainings offered this year. Attendees may participate in both (choose Option Seven).
?Option Five??$75 -- 9:00am to 12:30pm
Fast Forward Framing for Critical Issues
Carole and Craig Paterson, National Issues Forums
?Option Six??$75 -- 1:30pm to 5:00pm
Taking Dialogue & Deliberation to Scale
Ashley Boyd and Janet Fiero, Ph.D., AmericaSpeaks
?Option Seven??$125 Both half day trainings.
NCDD is proud to co-host an all day
on open source, internet and web 2.0 technology and how the dialogue & deliberation field can benefit from these readily available resources. This highly participatory conversation will be run by Chris Heuer, founder of BrainJam! BrainJam!
BrainJam!: A Conversation About Technology
Chris Heuer, BrainJam!
If you wish to host exhibit space at the conference, please select one of the two choices below. If your exhibit does not suit a tabletop display, contact the conference organizers concerning special exhibit arrangements. This year's display tables will be located where there is heavy foot traffic and high visibility.
Full six- to eight-foot display table.
Half six- to eight-foot display table.
Please consider making an additional contribution to the conference if you can. Your contribution to our scholarship program will help cover the expenses of those who may not otherwise be able to attend. Contributors to our scholarship fund will be listed in the conference program and on the website.
If you have been selected as a workshop leader or offered a scholarship, you may have received a six digit discount code in your acceptance email (depending on the type of discount received). If you have received a discount code, please enter it in the field below, if you choose to use it. Discount codes are only made up of letters and numbers. Any other symbols will cause your code to be ignored.
Enter your discount code for
conference registration here: ??
Enter your discount code for
pre-conference trainings here: ??
We are thrilled that you have decided to attend the 2006 National Conference on Dialogue & Deliberation. We look forward to seeing you in August!
Please review or submit your registration by clicking the box below.
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