Use this form if you cannot pay online by credit card. After you submit, YMHC will issue an invoice. Once payment is received (or your PO is approved), we will confirm your registration and add attendees to the course portal. Please provide the best email for invoicing and ensure all attendee names/emails are accurate.
If yes, please check Yes and use the same email address you used to register for the conference. You may be eligible for a conference attendee discount if you are registering for the online course "School-Wide Strategies to Support Students with School Attendance Challenges." This special conference attendee rate is for registered conference attendees only. It cannot be combined with any other discount, including group rates.
Prices shown do not include sales tax. Applicable taxes will be added to the final invoice total.
Please list every attendee exactly as you want it to appear on their certificate.
Each attendee must have a unique email address for portal access. If work emails block automated messages, use a personal email (e.g., Gmail/Outlook).
First name (required)Last name (required)
Unique email address (required)
Jane Doe, jane.doe@example.com
I understand that this online course is non-refundable once accessed.
I confirm the attendee list is accurate and I understand that portal access emails will be sent to the email addresses provided.