Event Registration ATU provides customized training to community organizations, schools and healthcare entities who serve patients and clients with disabilities. The training is for clients and patients, as well as for the staff who care for them. Assisted living and geriatric facilities’ clients are considered as “high incidence for hearing loss.” ATU gladly provides training that will benefit their patients and staff. Register for Event Your InformationName* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* EventEvent* Date Attending* MM slash DD slash YYYY In what capacity are you attending?* Member of Organization Caregiver/Parent Other Capacity if Other Do you need child care? No Yes Number of ChildrenPlease enter a number from 1 to 5.What are their ages? Price of Event Pay Online or at the Door Online At the Door If paying online, payment will be made through Paypal.