Online Registration Online registration closes at 5:00 p.m. on Sunday, September 27, 2020.DateRegistrant Type*ParticipantExhibitorSponsorParticipant TypePlease select one of the following:College/University StudentCollege/University Staff or AdministratorProfessional/OtherPersonal InformationName* First Last TitleSchool or Organization*Address* Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Telephone Number*Email Address* Social Media HandleT‐shirt SizePlease include your t-shirt size below. If you are one of the first 150 students to register, we will mail you a UDS Symposium t-shirt.Adult SAdult MAdult LAdult XLAdult XXLADA AccommodationIn compliance with ADA requirements, participants with special needs can be reasonably accommodated by contacting TTI Event Management & Planning [phone: 979-317-2222] at least five working days prior to the conference. If you have special needs, please specify below. Call to confirm your request prior to the event.Registration AcknowledgmentNOTICE:* By registering, I understand that my name, email, and workshop selection will be shared with the conference web-based conference vendor for the purpose of logging into the conference website. This information will not be shared with any other party or used for any purpose other than gaining access to the conference. Sponsor Participation LevelPlease select one of the following:*Premier Sponsor $5,000.00Gold Sponsor $2,500.00Silver Sponsor $1,500.00Bronze Sponsor $500.00Giveaway $0.00Giveaway Description*Example donations include: e-gift cards, e-coupons, or other giveaways. UDS welcomes any contribution level to help support this event. Video/Photo ReleasePermission Statement*In conjunction with registering for the UDS Symposium, I grant permission to the U in the Driver Seat Program and the Texas A&M Transportation Institute (collectively "TTI") to take and use visual/audio images of me as part of ongoing communications efforts to advance the U in the Driver Seat program, a program designed to reduce the frequency of vehicle crashes involving college students. "Visual/audio images" includes any type of recording whatsoever including but not limited to photographs, digital images, drawings, renderings, voices, sound or video recordings, audio clips or accompanying written descriptions. I agree that TTI owns the images and all rights related to them. I understand that the images may be used in video and audio productions, public service announcements, on the UDS Program website, and any other uses deemed appropriate by TTI, without compensation or notification. I waive any right to inspect or approve the finished images or any printed or electronic matter that may be used with them. I release and hold harmless TTI, its employees and agents, from any claim, damages, or liability for any violation of any personal or proprietary right I may have in connection with such recording or use. I freely and voluntarily consent to the use and publication of the images by TTI from this date forward until I revoke this consent in writing. If I am under the age of 18, I confirm that my parents or guardians are aware of these terms and also grant consent to the above stated terms. Yes, I agree Payment MethodTotal $0.00 How do you plan to pay?*Check/Money Order (U.S. currency drawn on a U.S. bank)Credit Card Online PaymentCredit Card* American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Security Code Cardholder Name EM&P only accepts Visa, MasterCard, Discover and American Express credit cards.NOTE: If paying by credit card, your credit card statement will indicate a merchant charge by TTI–Texas A&M Transportation Institute for the amount of your registration fee. Registration ReviewYou have submitted the following information. Please make sure it is correct before proceeding. {all_fields:nohidden,noadmin}
