2020 Conference Registration Form
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Full Conference Registration fees Professional ……………………..…………. $350 $ ______ After June 1, 2020 ……….. $400 $ ______ On-Site ………….................. $425 $ ______ (must be submitted with 5 or more registrations) Professional Group (5+) ………………. $315/each $ ______ After June 1, 2020 ………... $360/each $ ______ On-Site ………….................. $425/each $ ______ $ ______ $ ______ Please indicate your profession and/or connection with Autism Adult service provider (e.g., job coach, Vo Rehab specialist) Behavior analyst Child care provider Education Professional (includes administrator or district wide support) Health Care Professional (speech/language, OT, PT) Medical Physician Nurse Paraprofessional Parent Family Member of an individual with autism Self-advocate/Individual with Autism Special Educator or General Educator in a school setting Social Worker University Faculty or Staff Psychiatrist/Psychologist Other: _____________________________________ Continuing Education APA ASHA BACB CME NASP $50/type $ ______ TOTAL $________ Special Request/Assistance Needed? Vegetarian Gluten Free Dairy Free Other:_____________________________ Nursing Parent? Yes N/A N/A Full-time University Student ………. $200 Parent/Self-Advocate …………………. $200 Do you need sign-language interpretation services? Yes Refund requests MUST be received in writing by 5pm CST September 17th at [email protected]. The form should be used for approval purposes only. All attendees must register via the online portal at: www.tcautismconf.com THURSDAY, SEPTEMBER 24, 2020 (Please check the sessions you are attending) 9:00-10:00 a.m. KEYNOTE: A Future of Flourishing: The Postures, Practices and People That Can Change Trajectories, Erik Cater PhD Strands Focus on Autism: Clinical Practice Autism in the Schools Applied Behavior Analysis in Practice 10:15-11:30 a.m. The ABCs and CYPs of Psychopharmacogenomics Ben Black, MD Innovation in Mobile Technology for Augmentative and Alternative Communication Oliver Wendt, PhD PEAK Curriculum: Promoting Emergence of Advanced Knowledge Mark Dixon, PhD, BCBA-D, LBA 1:00-2:15 p.m. Clinical Trial Readiness for Neurodevelopmental Disorders Shafali Spurling Jeste, MD Changing the Conversation: Engaging Communities in Improving Outcomes for Individuals with autism Erik Carter, PhD Creating Compassionate Cultures: Acceptance and Commitment Training in Human Service Settings Ruth Anne Rehfeldt, PhD, BCBA-D 2:45-4:00 p.m. Autism and Primary Care Paul Carbone, MD This is Autism Louis Kemner Closing the Gap Between Research and Practice: How Practitioners Can Integrate Research into Their Daily Activities Amber Valentino, BCBA-D FRIDAY, SEPTEMBER 25, 2020 (Please check the sessions you are attending) 9:00-10:00 a.m. KEYNOTE: Advances in Early Detection and Diagnosis of Autism Spectrum Disorder, Lonnie Zwaiggenbaum MD Strands Focus on Autism: Clinical Practice Autism in the Schools Applied Behavior Analysis in Practice 10:15-11:30 a.m. The Social Needs of Adult Women with Autism Marisela Huerta, PhD Behavioral Strategies for Promoting Variable Responding in Children with ASD & Related Disorders Thomas Higbee, PhD, BCBA-D What Does Intervention Look Like in Ferguson? Social Justice and Cultural Responsiveness in Behavior Analysis Shahla Ala'i, PhD, BCBA-D, LBA 1:00-2:15 p.m. Updates in Psychopharmacology Austin Campbell, PharmD, BCPP Comprehensive Evaluations Kerri Nowell, PhD Building a Culturally Competent Approach to Supervision ABA Inside Track 2:45-4:00 p.m. CAT Clinic Connie Brooks, PhD Is the Good Behavior Game Really as Good as it Seems? Jeanne Donaldson, PhD Assessment and Treatment of Restricted and Repetitive Behavior in Individuals with ASD Jennifer Weyman, PhD, BCBA-D, LBA Thompson Center Autism Conference Registration Form September 24-25, 2020 DoubleTree by Hilton, St. Louis-Chesterfield Name _____________________________________ Organization___________________________________________ Address_________________________________ City________________________ State________ Zip_____________ Mobile Phone (____) __________ Email address____________________________________________
Transcript of 2020 Conference Registration Form
Full Conference Registration fees Professional ……………………..…………. $350 $ ______
After June 1, 2020 ……….. $400 $ ______
On-Site ………….................. $425 $ ______
(must be submitted with 5 or more registrations)Professional Group (5+) ………………. $315/each $ ______
After June 1, 2020 ………... $360/each $ ______
On-Site ………….................. $425/each $ ______
$ ______
$ ______
Please indicate your profession and/or connection with Autism
Adult service provider (e.g., job coach, Vo Rehab specialist) Behavior analyst Child care providerEducation Professional (includes administrator or district wide support) Health Care Professional (speech/language, OT, PT) Medical Physician Nurse Paraprofessional Parent Family Member of an individual with autism Self-advocate/Individual with Autism Special Educator or General Educator in a school setting Social Worker University Faculty or Staff Psychiatrist/Psychologist Other: _____________________________________
Continuing Education APA ASHA BACB CME NASP $50/type $ ______
TOTAL $________
Special Request/Assistance Needed? Vegetarian Gluten Free Dairy Free Other:_____________________________ Nursing Parent? Yes N/A
N/A
Full-ti me University Student ………. $200
Paren t/Self-Advocate …………………. $200
Do yo u need sign-language interpretation services? Yes
Refun d requests MUST be received in writing by 5pm CST September 17th at [email protected]. The form should be used for approval purposes only. All attendees must register via the online portal at: www.tcautismconf.com
THURSDAY, SEPTEMBER 24, 2020 (Please check the sessions you are attending)
9:00-10:00 a.m. KEYNOTE: A Future of Flourishing: The Postures, Practices and People That Can Change Trajectories, Erik Cater PhD
Strands Focus on Autism: Clinical Practice Autism in the Schools Applied Behavior Analysis in Practice
10:15-11:30 a.m. The ABCs and CYPs of PsychopharmacogenomicsBen Black, MD
Innovation in Mobile Technology for Augmentative and Alternative CommunicationOliver Wendt, PhD
PEAK Curriculum: Promoting Emergence of Advanced KnowledgeMark Dixon, PhD, BCBA-D, LBA
1:00-2:15 p.m. Clinical Trial Readiness for Neurodevelopmental Disorders
Shafali Spurling Jeste, MD
Changing the Conversation: Engaging Communities in Improving Outcomes for Individuals with autism
Erik Carter, PhD
Creating Compassionate Cultures: Acceptance and Commitment Training in Human Service Settings
Ruth Anne Rehfeldt, PhD, BCBA-D
2:45-4:00 p.m. Autism and Primary Care
Paul Carbone, MD
This is Autism
Louis Kemner
Closing the Gap Between Research and Practice: How Practitioners Can Integrate Research into Their Daily Activities
Amber Valentino, BCBA-D
FRIDAY, SEPTEMBER 25, 2020 (Please check the sessions you are attending)
9:00-10:00 a.m. KEYNOTE: Advances in Early Detection and Diagnosis of Autism Spectrum Disorder, Lonnie Zwaiggenbaum MD
Strands Focus on Autism: Clinical Practice Autism in the Schools Applied Behavior Analysis in Practice
10:15-11:30 a.m. The Social Needs of Adult Women with AutismMarisela Huerta, PhD
Behavioral Strategies for Promoting Variable Responding in Children with ASD & Related DisordersThomas Higbee, PhD, BCBA-D
What Does Intervention Look Like in Ferguson? Social Justice and Cultural Responsiveness in Behavior Analysis Shahla Ala'i, PhD, BCBA-D, LBA
1:00-2:15 p.m. Updates in Psychopharmacology
Austin Campbell, PharmD, BCPP
Comprehensive Evaluations
Kerri Nowell, PhD
Building a Culturally Competent Approach to SupervisionABA Inside Track
2:45-4:00 p.m. CAT Clinic
Connie Brooks, PhD
Is the Good Behavior Game Really as Good as it Seems?
Jeanne Donaldson, PhD
Assessment and Treatment of Restricted and Repetitive Behavior in Individuals with ASDJennifer Weyman, PhD, BCBA-D, LBA
Thompson Center Autism Conference Registration Form September 24-25, 2020 DoubleTree by Hilton, St. Louis-Chesterfield
Name _____________________________________ Organization___________________________________________
Address_________________________________ City________________________ State________ Zip_____________
Mobile Phone (____) __________ Email address____________________________________________
