2024 SummIT Registration

Please complete the registration form below. To see full event details, visit the SummIT website at ltcillinois.org/summit. Questions regarding registration can be directed to events@ltcillinois.org.

Event Details

Event Name

Location

Start Date

Start Time

Event Fee

Your 2024 Summit Experience

SummIT Registration June 11 - June 12, 2024

I will be at SummIT, the best place to connect with school IT leaders in Illinois!

SummIT Social

June 11, 2024, 6:00pm - 8:00pm | Esquire Lounge, 106 N. Walnut St., Champaign IL 61820

I plan on attending the free social event.

Organization

Type of Organization

Illinois Education Organization (i.e., school district, private school, ROE/ISC, association, etc.)Non-Illinois Education OrganizationVendorIndependently Employed or Retired

Select Your Organization

If your institution is not listed, it may be included under a different name. To request an Illinois organization be added to the list, please email support@ltcillinois.org.

Name of Vendor or Non-Illinois Organization

Address

City

State

Zip

Contact Details

First Name

Last Name

** ReType Email

Job Title

Phone Number

Primary Performance Responsibility

IEIN Number

Billing

Total

Discount Code

Billing

PreDiscountTotal

Discount Amount

Please provide your home address.

Please provide your district billing address.

Billing Contact Name

Billing Contact Email

Address

City

State

Zip

Cardholder Full Name (First and Last)

Cardholder Email Address

Credit Card Number

Expiration Date Month

Expiration Date Year

CVV

Additional Details

Dietary Restrictions. We will do our best to accommodate dietary restrictions when possible.

CODE OF CONDUCT
At SummIT, our primary goal is to foster a lively and enjoyable environment where IT leaders can connect, engage, and share insights in a trusted space. To uphold this atmosphere, all participants agree to the principle that 'what is shared at SummIT, stays at SummIT.' This policy encourages open dialogue and the exchange of ideas, ensuring that our attendees can speak freely without concern for external disclosure. We invite you to bring your enthusiasm, knowledge, and respect for confidentiality to create an unforgettable and valuable experience for everyone involved.

CANCELATION POLICY
All cancelation requests must be made in writing and sent to events@ltcillinois.org. A 100% refund will be granted when the cancellation request is received at least 24 hours before the event. Attendees who pay with credit cards will be refunded the full amount minus a 3% processing fee. No refund will be granted if the request is received less than 24 hours in advance. If LTC cancels the event, attendees that paid with credit card will receive a 100% full refund.

PHOTO/VIDEO CONSENT
Photographs and videos may be taken of you by the Learning Technology Center (LTC) or others on behalf of LTC to capture activities. By which incidentally, some photographs may capture your participation, directly or indirectly. This media may be used for in print and electronic advertising and promotion, without any compensation to you, and you hereby authorize the LTC to edit, alter, copy, exhibit, publish, or distribute these images for any lawful purpose, and release LTC of any liability thereto. If you do not authorize LTC to use your image, please email support@ltcillinois.org.

I acknowledge that I have read and agree to the SummIT Terms.

I give permission to share my contact information with SummIT sponsors.

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Account - Assigned for Manual Review

Account - Independent/Retired

Account - Illinois Org ID

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