2018 Registration

Say What! Texas Tobacco-Free Conference

Registration Type
If you select Presenter/Exhibitor or Partner, skip down to Group Information Section of this form.
Youth Organizations Only
If you are unsure of which track to select, visit (http://txsaywhat.com/conference) for more information.
Peers Against Tobacco Only
Group Information
This is how your group will be identified at the conference. Please use the same name when registering all other members of your group.
Participant Information
Payment Information

If paying by credit card, please click the following link: [Credit Card Authorization Form]

Please enter the name of the organization that should be listed on the invoice, if different from the Group Name entered above.
(If applicable)
(If applicable)
Lead Adult Sponsor (Youth Organizations Only)
Because we will mail the Lead Adult Sponsor for each group a confirmation packet, please make sure we have the address at which you will receive mail beginning June 1, 2018.
Please Read Before Submitting

By submitting this registration form, I understand that:

  • I must submit signed and completed Code of Conduct and Emergency Contacts and Medical Release forms to complete each individual registration, and

  • I am responsible for my own behavior and the behavior of the youth in my group (applicable to all adult sponsors) while at the conference, and

  • I must stay on-site for the duration of the conference but will notify TxSSC staff should I need to leave the premises, and

  • I will participate in all conference activities, and

  • I release TxSSC, DSHS and conference partners to use ideas, photographs, and/or film that may be taken during conference activities.