Welcome to the CLTA 2017 Conference Registration Form for Webinar Workshop

| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

State Affiliate

Personal Information

Personal Information
If you did not receive the link to this registration from Tanya Zaccone, you need to first apply for acceptance into this webinar. To access the application for the Webinar, go to https://goo.gl/forms/JK3kdrJ17syhC1XK2.

Email Information
Your personal email address works better because...
  • your school email server may block our emails to your
  • when you change schools, districts or employment status, you can still stay in touch with us.
But if you must use your school email address, perhaps you can give us an alternate email just in case.

ATTENTION: If you are registering multiple people, each registrant must be on a separate form and have a UNIQUE email address. Please DO NOT use the same email address on different forms.  
If you need help paying with a credit card for more than one person at the same time, contact the registrar at registrar@clta.net.

Page 2 - Conference Registration

Registration (California)

Registration (Outside California)

Conference Registration - Saturday/Sunday

*Registration Package Includes: Saturday and Sunday Sessions, Saturday Awards Luncheon and Sunday Gala Brunch (Thursday/Friday Workshops are NOT included).  IF you choose **Registration Fee Only include the Saturday/Sunday Sessions only - NO MEALS. If you would like to purchase individual meals, please see below.


Thursday 6-Hour Workshop

Thursday 3-Hour Workshop - Session I

Thursday 3-Hour Workshop - Session II

NOTE: Workshop C2 - Let Them Talk! is FULL. If you would like to be put on the Wait List for C2, send an email to registrar@clta.net with "Wait List for C2" in the subject line. In the body list your full name and email. You will be contacted if there is an opening.
Thursday 3-Hour Workshop - Session III

Friday Workshop - Session III


Please only enter digits, no "$" necessary.

Please only enter digits, no "$" necessary.


Please only enter digits, no "$" necessary.

Page 3 - Payment

Terms and Conditions
A $50 Late Fee will be assessed on all registrations not received by February 8, 2017 (postmarked by February 1, 2017).

All requests for refund must be in writing to registrar@clta.net by February 13, 2017. No refunds will be made if requested after that date. A $25 Administrative Fee will be assessed for ALL cancellations.  Refunds will NOT be given on Membership Dues. Refunds will be processed after the conference.

Photograph Permission: By registering for this conference, individuals are giving CLTA permission to use any photographs taken.


Payment Via Check:

Make checks payable to CLTAPlease send payment along with a copy of your receipt (that will automatically be emailed to you upon submission of this form) to:

CLTA Conference Registration

8822 Woodman Way

Sacramento, CA 95826

To finalize your Registration, remember to click on SUBMIT after you have verified/printed your information.

PLEASE NOTE: Do NOT mail your check after March 2, 2016! Bring it with you to the Conference!
Payment Via Purchase Order (PO):

Please send a PDF copy of your purchase order to Membership at registrar@clta.net. If you have a PDF copy you can email it to registrar@clta.net or upload it below no later than 5 pm Wednesday, March 9, 2016. 

PO #

PLEASE NOTE: Do NOT mail your purchase order after March 2, 2016. Bring it with you to the Solutions Desk at the Conference!
Payment Via Credit Card

Make a note of the TOTAL AMOUNT DUE above. After submitting your registration, you will have an opportunity to go directly to the credit card payment window. An email detailing how to pay using a credit card will also be sent to the email you provided. If you don't get the email, contact Evelyn at registrar@clta.net.


Please enter the characters you see in this picture:


This helps prevent automated form submissions. If you are not sure what the characters are, make your best guess. You will have another try in the next screen.
Can't see the image? Click here for an audible version in English.

Need assistance with this form?