DCUX 2019 Registration PERSONAL INFORMATION This information may appear on your badge - please enter it the way you want it to appearFirst Name*Last Name*Preferred NameIf you list a nickname, this will replace your first name on your badgePreferred PronounPlease enter your preferred pronoun, if you wish for one to show on your badgeJob TitleOrganizationWhat organization do you represent or work for? If you're a student, enter the name of your institution here.Location*What city, state, or region do you live and work in?Twitter HandleAsk me aboutType wisely, this will go on your badge to facilitate networking exactly as you type it.Opt-ins I opt into the DCUX Slack Channel I opt into the UXPA DC Outreach list CONTACT INFORMATIONCell Phone*Used in case of emergency.Email*Registering on behalf of someone else? Please enter the attendee's email address here—we'll be sending important event information via email REGISTRATION - PRE-CONFERENCE WORKSHOPS DCUX will extend a discount to any attendee taking a workshop(s) and the conference, you will receive a discount of $10 for each ½ day workshop, $20 for a full day workshop plus another $10 discount off the conference rate. The total discounts will be reflected before you apply payment. Friday, November 8, 2019FULL DAY WORKSHOPS (lunch included) $320 Getting Started with Ethnography: UX Research in the Field with Carol Smith$320 Beyond Social Impact Design: A Systems Approach with Victor UdoewaNoneHALF DAY WORKSHOPS (Morning)$160 Good Show! Presentation and Facilitation for Creatives with Natalie Levy-Costa$160 Designing Connected Content: A Workshop with Carrie Hane$160 Learn How to Lead a Design Sprint...by Participating in a Design Sprint with Jimmy ChandlerNoneHALF DAY WORKSHOPS (Afternoon)$160 Collaborative Improv: Building Better Products Through Improvisation with David Farkas$160 Scalable Design Systems with Nathan CurtisNone REGISTRATION - MAIN CONFERENCE*Your ticket includes all sessions during the main conference, food and beverages (lunch and snacks). Saturday, November 9, 2019 Early-bird rates! Prices go up after August 31st. All rates are in U.S. Dollars.$275 Conference$125 Conference Student(requires validation)NoneREGISTRATION - MAIN CONFERENCE*Your ticket includes all sessions during the main conference, food and beverages (lunch and snacks). Saturday, November 9, 2019 All rates are in U.S. Dollars.$350 Conference$125 Conference Student(requires validation)NoneREGISTRATION - MAIN CONFERENCE*Your ticket includes all sessions during the main conference, food and beverages (lunch and snacks). Saturday November 9, 2019$0 SpeakerREGISTRATION - MAIN CONFERENCE*Your ticket includes all sessions during the main conference, food and beverages (lunch and snacks). Saturday November 9, 2019$225 Workshop SpeakerMulti Event DiscountDiscount ($30)Multi Event DiscountDiscount ($30)DiscountDiscount ($20)Multi Event DiscountDiscount ($20)Multi Event DiscountDiscount ($20)Multi Event DiscountDiscount ($20)Multi Event DiscountDiscount ($30)Multi Event DiscountDiscount ($30) ACCESSIBILTY AND OTHER NEEDS Please list any needs you may have or assistance that would make DCUX more welcoming for you.Accessibility NeedsWe would like your conference experience to be as easy and enjoyable as possible. Please let us know how we can do this. If you give us 10 days notice of your needs, we will be able to plan better. ASL interpreter Communications Access in Real Time (CART services) Wheelchair access An assistant will accompany me Other (please specify) Lactation Room RequestsA private room with a small refrigerator will be provided for mothers with lactation needs. Is this something you will need? NoYesDietary RequestsDCUX will do its best to provide you with food that fits your dietary restrictions. We can serve you more effectively if you provide us with notice at least 10 days before the conference. Please make sure to include any food allergies, preferences, or strict dietary requirement that you’d like us to accommodate. The more specific you are, the better we can fulfill your needs.Additional CommentsLastly, if there is anything else we can do to make your experience welcoming, please let us know below. 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Only one code per registration.Discount CodeGroup DiscountGroup Discount ($35)Total Cost $0.00 Credit CardPlease note: Credit card statements will show the DCUX registration payment as "Kunverj", our vendor for registration and payments for this event. American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Code of Conduct*The DCUX is an inclusive, cooperative and welcoming environment. All participants are required to follow our Code of Conduct at all times during the conference to help ensure a safe environment for everybody. I've read the DCUX Code of Conduct, and agree to abide by it while participating in the conference.