Register for July 8, 2025 Teaching Disability History Conference - Keene State College
Please complete all sections of this form. We will send a schedule and program details later in the spring. 
Conference presentations will be supported with CART and ASL. 
Lunch will be provided in the Keene State cafeteria. 
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Name
Preferred email
School or organization
Role(s) - check all that apply
Please describe any accommodations that are necessary for you to participate fully
Please describe any dietary restrictions (lunch will be served in a Keene State cafeteria) 
If you are a teacher and/or a disability advocate, do you wish to apply for an honorarium (about $100) to support your participation in the July 8 conference? 
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If you apply for an honorarium, please enter your mailing address below, so we will be able to send you a check. 
Provide street, apartment/unit (if there is one), city/town, state, and zip code. 
(We will keep this information confidential, and we will not use your address for any other purpose.) 
Is there anything else that you want us to know about you before the conference? 
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