PAAPC Registration Form – July 18, 2024Registration: PAAPC 2024 (Bypass) How did you hear about us? * Please SelectSMC Partner What session would you like to register for? * Please SelectJuly 18, 2024 (Online) Please enter the registration code you received. * Registrant’s First Name * Registrant’s Last Name * ADDRESS Street Address * City * State * Postal Code * Phone Number * Email Address * Education Level * Please SelectHigh school graduate or equivalentTrade or vocational degreeSome collegeAssociate degreeBachelor's degreeGraduate or professional degree Ethnicity (Optional) Please SelectAfrican American or BlackAfrican ImmigrantAmerican Indian or Alaska NativeAsianLatino/Latina/LatinxNative Hawaiian or Other Pacific IslanderWhiteTwo or More RacesI'd rather not say. SOCIAL MEDIA PRESENCE Instagram Facebook LinkedIn MEDIA RELEASEAs a condition of registration and participation in this course, all students will be required to grant permission to the rights of their image, likeness and sound of their voice as recorded on audio or video tape without payment or any other consideration. Students understand that their image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein their likeness appears; waive any right to royalties or other compensation arising or related to the use of their image or recording. Students will be required to sign a release which can be reviewed here.CANCELLATION & REFUND POLICYA refund request must be made in writing within 24 hours of your payment ONLY. Full refunds will be issued less an administrative fee of $100.00. Your request MUST include your full legal name and email address. Your request MUST be emailed to support@smcdoulas.com.By clicking Register Now below, you agree to SMC’s Media Release above as well as SMC’s Privacy Policy and Terms of Use. Submit If you are human, leave this field blank. Share this: Share on Facebook (Opens in new window) Facebook Share on X (Opens in new window) X