2019 Texas Academy Annual Conference and Exhibition Attendee Registration

To register for the 2019 Texas Academy Annual Conference and Exhibition, please begin by completing the form below.

MEMBERS PLEASE NOTE: If you are a Texas Academy member, please log in before completing the form to receive the member rate.

If you are a member and do not have your login and/or password you must contact the Academy at 312/899-0040 (ext. 5000) or membership@eatright.org.

By submitting this form, I acknowledge that if I register as a nonmember and I am a member, I will not receive a refund.

Required fields are noted in red.

Contact Information

First Name:
Last Name:
Member?
No
Credentials:
Employer:
Address:
Address - cont:
City:
State:
Zip:
Daytime Phone:
Email Address:
Confirm Email Address:

Can we give your email address to exhibitors/sponsors?

Yes
No

Professional Practice Area

Please select the category that describes your professional practice area.

If you selected "Other" above, please enter your professional practice area:

Registration Category

Please select your registration category below.

Category
Early Bird Registration
(On/Prior to March 8, 2018)
Registration
(After March 8, 2018)
Academy Member
Being a member of the Academy automatically makes you a member of your State affiliate and qualifies you for the member discounts.
Academy Member - Full Conference
$245
$345
50-Year Academy Member - Full Conference
$70
$70
Academy Member - Thursday Only
$175
$205
Academy Member - Friday Only
$175
$205
Nonmember
Nonmember - Full Conference
$355
$455
Nonmember - Thursday Only
$235
$295
Nonmember - Friday Only
$235
$295
Student/Intern/Retiree
Fulltime Student/Intern status must be verified. Use the upload form below* to upload a file containing a copy of student ID or letter from professor or internship director for each student registration you are submitting. NOTE: All student verifications should be included in one file.
Academy Member - Student/Intern/Retiree
Academy Member - Student - Full Conference
$135
$165
Academy Member - Student - Thursday Only
$105
$135
Academy Member - Student - Friday Only
$105
$135
Academy Member - Intern - Full Conference
$135
$165
Academy Member - Intern - Thursday Only
$105
$135
Academy Member - Intern - Friday Only
$105
$135
Academy Member - Retiree - Full Conference
$135
$165
Academy Member - Retiree - Thursday Only
$105
$135
Academy Member - Retiree - Friday Only
$105
$135
Nonmember - Student/Intern/Retiree
Nonmember - Student - Full Conference
$165
$195
Nonmember - Student - Thursday Only
$120
$150
Nonmember - Student - Friday Only
$120
$150
Nonmember - Intern - Full Conference
$165
$195
Nonmember - Intern - Thursday Only
$120
$150
Nonmember - Intern - Friday Only
$120
$150
Nonmember - Retiree - Full Conference
$165
$195
Nonmember - Retiree - Thursday Only
$120
$150
Nonmember - Retiree - Friday Only
$120
$150
Comp Registrations
Speaker
No Charge
No Charge
Sponsor
No Charge
No Charge
Exhibitor Comp RD
No Charge
No Charge
Past President
No Charge
No Charge
50 Year Member
No Charge
No Charge
Texas State Media
No Charge
No Charge
If you selected one of the comp registrations above, please enter your comp code below.
Recognition Dinner Event Only
Recognition Dinner Event Only
Total Ticket Charge
Total Ticket Charge
Guest
Fulltime Student/Intern status must be verified. Enclose a copy of student ID or letter from professor or internship director with registration form.
Guest registration covers admission to the Exhibition.
Guest
$70
$70
 
Guest - First Name:
Guest - Last Name:
Children under 16 are not permitted to attend any Annual Conference and Exhibition official activity.

*Student/Intern status verification file:

Other Attendee Information

Use the fields below to register up to 10 additional individuals. NOTE: All fields are required for each additional individual you are entering.

If you are not including additional registrations, click here to skip this section.


Additional Attendee #1:

First Name:     Last Name: Credentials:    
Professional Practice Area: Other:
Address: City: State:    
Email Address:
Registration Category:


Additional Attendee #2:

First Name:     Last Name: Credentials:    
Professional Practice Area: Other:
Address: City: State:    
Email Address:
Registration Category:


Additional Attendee #3:

First Name:     Last Name: Credentials:    
Professional Practice Area: Other:
Address: City: State:    
Email Address:
Registration Category:


Additional Attendee #4:

First Name:     Last Name: Credentials:    
Professional Practice Area: Other:
Address: City: State:    
Email Address:
Registration Category:


Additional Attendee #5:

First Name:     Last Name: Credentials:    
Professional Practice Area: Other:
Address: City: State:    
Email Address:
Registration Category:


Additional Attendee #6:

First Name:     Last Name: Credentials:    
Professional Practice Area: Other:
Address: City: State:    
Email Address:
Registration Category:


Additional Attendee #7:

First Name:     Last Name: Credentials:    
Professional Practice Area: Other:
Address: City: State:    
Email Address:
Registration Category:


Additional Attendee #8:

First Name:     Last Name: Credentials:    
Professional Practice Area: Other:
Address: City: State:    
Email Address:
Registration Category:


Additional Attendee #9:

First Name:     Last Name: Credentials:    
Professional Practice Area: Other:
Address: City: State:    
Email Address:
Registration Category:


Additional Attendee #10:

First Name:     Last Name: Credentials:    
Professional Practice Area: Other:
Address: City: State:    
Email Address:
Registration Category:


Recognition Dinner Event

Note: the cost of the ticket is used for costs associated with the dinner. This money DOES NOT go directly to the Foundation. If you cannot attend the event but would like to make a donation to the Foundation, please complete the "Donations" section below.

Quantity
Event
Fee
Recognition Dinner Ticket
$50

Donations

I would like to make a donation to the Texas Academy PAC in the amount of: $

Terms and Conditions for Registration

I agree and acknowledge that my participation in various Texas Academy of Nutrition and Dietetics Food & Nutrition Annual Conference & Exhibition (AC&E) events may give rise to occasional instances of loss or injury. Except to the extent that such instances may result from the negligence or misconduct of the Texas Academy, I hereby waive and release any claims that I might have against the Texas Academy and its employees, members and representatives. I understand that the Texas Academy may, at its option, make photographs, videos or recordings of AC&E events, which may include my likeness or participation, and reproduce them in the Texas Academy educational, news or promotional material, whether in print, electronic or other media, including the Texas Academy Web site (www.eatrighttexas.org). By participating in the Texas Academy’s AC&E, I hereby grant the Texas Academy permission to make, use and distribute such items, and I waive any rights to seek payment or compensation.

 

The Texas Academy of Nutrition and Dietetics cannot assume any liability for adverse reactions to food consumed, items, or other individuals one may come in contact with while visiting the AC&E Exhibit Hall and AC&E related activities. Please inform the exhibiting company and/or service staff if you have any food/dietary allergies. They will make every effort to identify ingredients that may cause allergic reactions for those individuals with food allergies. Because of the number of different samples and meals served throughout the AC&E Exhibit Hall and various AC&E activities, as well as the number of ingredients used, it cannot be guaranteed that every allergen in the food served will be identified and labeled. Consumers that are concerned with food allergies need to be aware of this risk.

 

CANCELLATION AND REFUND POLICY: WRITTEN REQUESTS FOR CANCELLATION OR REFUNDS MUST BE EMAILED ON OR BEFORE MARCH 10, 2019 TO TAND@EATRIGHTTEXAS.ORG. Registrations will be refunded less a $25 processing fee. Cancellation requests received after the Cancellation Deadline of March 10, 2019 will NOT receive a refund.


I have read and agree with the terms and conditions above.

By submitting this form, I acknowledge that if I register as a nonmember and I am a member, I will not receive a refund.