November 3-5, 2024
Embassy Suites & Frisco Convention Center
Frisco, TX

November 3-5, 2024
Embassy Suites & Frisco Convention Center
7600 John Q Hammons Drive Frisco, TX 75034

Awards Dinner Registration

Awards Dinner

Sunday, November 3, 2024 | 6:00 p.m. - 9:00 p.m.

Attendee Rate

$50

REGISTER

"*" indicates required fields

Name*

First Last

Email*

Enter Email Confirm Email

Phone*

What best describes you?*

Award Recipient

Board Member

Other

How many guests would you like to attend?*

1st Guest Attendee Name*

If you are unsure of the name of the person who will be attending please enter "TBD."

First Last

2nd Guest Attendee Name*

If you are unsure of the name of the person who will be attending please enter "TBD."

First Last

3rd Guest Attendee Name*

If you are unsure of the name of the person who will be attending please enter "TBD."

First Last

4th Guest Attendee Name*

If you are unsure of the name of the person who will be attending please enter "TBD."

First Last

LSSSCA Awards Dinner - 1 Attendee

Price:

LSSSCA Awards Dinner - 2 Attendees

Price:

LSSSCA Awards Dinner - 3 Attendees

Price:

LSSSCA Awards Dinner - 4 Attendees

Price:

Total

Credit Card*

PLEASE NOTE: The transaction description on your credit card statement will be listed as NATIONAL CENTER FOR YOUTH ISSUES (NCYI).

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Billing Address*

Please enter the address affiliated with the credit card you are using for this transaction.

Street Address Address Line 2 City State ZIP Code

Billing Email*

Please enter the email that you would like to receive the transaction confirmation.

Enter Email Confirm Email

Billing Phone*

CONTACT INFORMATION

866.318.6294

Fax 423.899.4547

registrations@ncyi.org

National Center for Youth Issues
ATTN: LSSSCA
P.O. Box 22185
Chattanooga, TN 37422-2185

The Attendee will receive an email confirmation to the email address provided when their registration is processed. (Make sure to check Junk/Spam folders.) Please allow ample time for processing.

Sponsors receive attendee contact information.