Los Angeles, CA - Conference Registration - July 13-16, 2023

Name

First Last

Professional Title (Director, Speech Language Pathologist, etc.)*

Discipline (OT, SLP, MD, etc.)*

Company

Email*

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Please do not enter the address in all capital letters or abbreviate the State/Province that you enter below.

Address*

Street Address Address Line 2 City State/Province ZIP / Postal Code Country

Phone*

How did you hear about the conference?*

Email
Friend or Colleague
Professional Association
Social Media (Facebook, Instagram)
SOS Approach to Feeding Website
Other

Additional Requirements - COTA, OTA, CODA, SA, PTA or student in training

LICENSING STANDARDS - All students and assistants must follow individual licensing/training standards for their State/Country and their professional degree’s supervision standards. When there is a requirement for a students and/or assistants to practice only under professional supervision, the SOS Approach to Feeding program requires those SLP-A’s, COTA’s or discipline equivalent to have a Supervisor who themselves have attended a SOS Training Conference.

Are you a COTA, OTA, Speech Assistant or Student?*

Yes
No

If your Supervisor has previously attended the SOS Approach to Feeding and you are registering to attend an SOS Training Conference as an assistant or student, you are required to have your supervisor send an email stating that they will provide supervision to you as required by your State/County’s standards while practicing the SOS Approach to Feeding program, along with a copy of their SOS Certificate of Attendance.

If your supervisor is planning to attend an SOS Conference with you, please have your supervisor send an email stating that they will be attending the SOS conference with you and will provide supervision to you while practicing the SOS Approach to Feeding IF this is required by your State, Country or professional degree’s standards to [email protected]

Continuing Education

Are you planning to request Continuing Education credits ?

Toomey & Associates is currently approved by AOTA, ASHA & CDR.

Yes
No

Please select the association from which you are seeking continuing education credits.

CDR
AOTA/NPOT
ASHA

Licensed: (State& License #)

Certified (State/Organization and #)

Clinical Fellow (Supervisor name andher/his ASHA account number)

Enrolled in a graducate program in SLP or audiology (University name and expected graduation date)

ADA Requests

ADA Accommodations - Toomey & Associates, Inc. complies with ADA provisions. If you require special accommodations or need assistance, please contact Toomey & Associates at least 30 days in advance of the conference by emailing or calling (720) 672-1143 to ensure time needed to make arrangements.

Do you have any severe dietary allergies or do you need any ADA accommodations?*

Yes
No

If you responded yes, please describe.

Non-ADA Requests

Specialty Dietary Preferences Notice

If you have dietary preferences, please describe below. Please note, we will offer a variety of food selections during our morning and afternoon breaks, including protein and fruit items. While we will strive to provide options for those with dietary preferences, we are unable to guarantee that the food provided will meet all preferences. For those with specific preferences, you are welcome to bring additional snacks to ensure that they meet your dietary preferences and to supplement the food provided.

Provisions, Terms & Conditions

SOS Conference Pre Recorded Segment, In Person Attendance, Course Test and Evaluation Requirements*

This Hybrid SOS Main Training Conference (4.5 Days) has a 100% Attendance requirement. Registrants are expected to complete both the 5.5 hours of online, pre-recorded segment of the Conference at least one week prior to attending the in-person segment of the Conference and attend the In-Person Segment all 4 days in full.

In-Person Segment
During the in-person segment of the Conference, Participants are expected to attend the course and participate fully for the entire length of each day (7:30 AM to 5:00 PM on Days 1-3 and 7:30 AM to 3:00 PM on Day 4) in order to receive their Certificate of Completion, any continuing education credits, and/or to be allowed to use the SOS Approach to Feeding program. Participants will miss crucial information needed to be able to correctly use the SOS Approach to Feeding program if they come late or leave the course early.

Participants who arrive late or leave early on any day MUST make up any missed time. If the Participant does not make up the time, they will not receive a Certificate of Completion, and they will not be authorized to use the SOS Approach to Feeding Program. During the conference, the Participant must immediately make arrangements with Dr. Toomey to stay late each day of the conference until all of the missed time has been made up.

Participants MUST make their travel arrangements on the last day of the conference so that they will not be leaving the conference for any reason before 3:00 PM. NO EXCEPTIONS for flight or train schedules will be made.

Online, Independent Study Segment
Registrants will receive an email with instructions for accessing and completing the online, pre-recorded segment of the Hybrid SOS Main Training Conference approximately two months prior to Day 1 of the In-Person segment of the Hybrid Conference.

Registrants will have until one week before Day 1 of the In-Person segment of the Conference to complete the 5.5-hour online pre-recorded Conference material.

Any participant who does not watch the full duration of the 5.5-hour online segment (verified by a third party system) and/or does not pass the test by at least one week prior to Day 1 of the In-Person segment of the Hybrid Conference, will be contacted by the SOS Conference Administrators via email to the email provided in this registration form. SOS will work with the Registrant to make ensure the requirements for this segment of the Hybrid Conference have been met in order for the Registrant to be allowed to attend the In-Person segment of the conference. If the Registrant does not successfully complete the required online pre-recorded segment of the Conference 1 Week prior to Day 1 of the In-Person Conference, the Registrant will be cancelled out of the SOS Conference with no refund being issued. Any participant who does not complete and pass the test for the Online Segment prior to Day 1 of the In-Person segment of the Conference will not be allowed to attend the In-Person segment, nor will any continuing education credits or partial credit be given. They will not receive a certificate of attendance for the Conference.

Course Tests and Evaluation Form
All attendees are required to complete a test upon completion of the online segment, one test each day for the in-person segment and an evaluation form on the last day in order to receive their certificate of attendance.

I agree to the SOS Conference Pre Recorded Segment, In Person Attendance, Course Test and Evaluation Requirements

COVID Policy*

At this time, there are no COVID restrictions in place for Toomey and Associates conferences. However, Toomey and Associates will abide by all state and federal COVID policy regulations at the time of the start of this conference. If there are any changes in the COVID policy due to a surge in COVID illnesses, Toomey & Associates will notify the participants as soon as possible regarding any needed requirements including proof of vaccination or a negative COVID test.

I have read the information regarding COVID and understand that I may need to provide additonal information upon request.

Cancellation/Transfer Policy*

Cancellations must be received in writing to [email protected] no later than June 11, 2023 to receive a refund minus a $75 administrative fee. No refunds will be issued for cancellations received after June 11, 2023.

Please be aware that once you receive and begin the 5.5 hours of online material for the conference you are currently registered in, you will no longer have the option to cancel your attendance at the in-person segment of your SOS Conference. If you receive and begin to view the online material, and then decide you cannot attend the in-person segment of the SOS Training Conference for which you have registered, you will not receive a refund. You will instead have the option to transfer to a different in-person SOS Conference segment. You will need to notify us immediately if you need a transfer, along with which other SOS Conference you want to attend instead. There will be a $75.00 administrative transfer fee to place you in the new in-person conference. Please note that if you do not attend the in-person segment of the SOS Training Conference within 12 months you will forfeit your complete registration fee. There will be no partial credit given for just the online segment of the Hybrid SOS Conference, nor will you receive a certificate of attendance unless you complete both the on-line and in-person segments (the full Hybrid SOS Conference).

Registrations may be substituted for another attendee from the same organization. Substitutions must submitted in writing by June 30th to [email protected] otherwise the substitution cannot be honored.

Registrations cancelled due to a family emergency or illness will be deferred to a future SOS Approach to Feeding Conference hosted by Toomey & Associates, Inc. within 1 year of the start date of the original conference.

I agree to the cancellation policy

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SOS Approach to Feeding Conference Registration

4.5 Day Hybrid - Los Angeles, CA - July 2023

Event Registration - Hybrid CA - Toomey - July 13-16, 2023

Additional Requirements - COTA, OTA, CODA, SA, PTA or student in training

Continuing Education

ADA Requests

Non-ADA Requests

Provisions, Terms & Conditions