The 54th Annual Symposium: Care of the Professional Voice Educational Credits are available only for the sessions attended May 28 - June 1, 2025. (CMEs and CEUs) How many people are you registering? * 1 2 3 4 5 6 7 8 9 10 Fill in your registration information on this page. You will be able to enter the registration information for additional people after you complete this page and click "Continue". Symposium Registration Info First Name * Last Name * Street Address Additional Address City Country - select Country - United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo, Republic Of The Congo, The Democratic Republic of the Cook Islands Costa Rica Côte d’Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Serbia and Montenegro Seychelles Sierra Leone Singapore Sint Maarten (Dutch Part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syrian Arab Republic Taiwan Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe State - select State/Province - Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Postal Code Please select your degrees for name badge display: MD PhD CCC-SLP FACS SLP CCC DO DMA DM MM MFA DFA MS MA BS BA BM MBA M.Ed. If your degree is not shown above, please list it here: Email Address * SHORT Affiliation Name as it should appear on your Name Badge: the University, Clinic, School, Private Practice or Private Studio where you study or work. Association or Affiliation * Telephone * Are you seeking continuing education credits? * No CEU (ASHA)   CME Number of times attending this Symposium: First Time   10x or less   20x or less   30x or less   More than 30x PLEASE INDICATE IF YOU ARE A MEMBER OF THE FOLLOWING ORGANIZATIONS: I am a member of The Voice Foundation Yes No I am a member of the International Association of Phonosurgery Yes No I am a member of NATS Yes No I am a member of CoMeT Yes No PLEASE INDICATE IF YOU PLANNING ON ATTENDING ANY OF THE FOLLOWING MEETINGS: INAUGURAL WOMEN IN SCIENCE MEETING: I will attend this meeting - Thursday, 7AM Yes No JOV EDITORIAL BOARD MEMBERS ONLY LUNCH: I will attend the meeting, Thursday, 12PM * Yes No ADVISORY BOARD MEMBERS ONLY: I will attend the AB meeting - Friday, 6:45AM * Yes No TVF CHAPTER OFFICER/REP: I will attend the Chapters lunch meeting - Saturday, 12PM Yes No VOICE LAB REPS: I will attend the lunch meeting - Saturday, 12PM Yes No This group is open to laryngologists who have been in practice < 15 years. RSVP is REQUIRED. The young Laryngologists study group is an opportunity to present and learn from other’s interesting and difficult cases. Aaron Johnson now leads the group. Mike Pitman, Tom Carroll and Adam Rubin have led this group in the past and it continues to grow! They encourage you to bring any cases, practice building questions or anything really that we need help with or just want to bring to the groups attention for input. The Voice Foundation, unlike other meetings, has a true focus on care of the professional voice. YOUNG LARYNGOLOGISTS: I will attend the study group - Friday, 12:15PM Yes No As Quincy Jones told the stars of "We are the World", we will all "leave egos at the door", so no question or issue will be embarrassing to anyone. We can all learn from our nightmare cases and successes. Event Fee(s) If you have a discount code, enter it here Apply All-Inclusive: Includes All Events & Gala - Early Bird - select All-Inclusive: Includes All Events & Gala - Early Bird - Physician - $ 760.00 Non-Physician - $ 610.00 Student - $ 375.00 1.) You MUST choose a price. Voices of Summer Gala, May 30th * - select Voices of Summer Gala, May 30th - Gala - Attending - $ 0.00 Not Attending Gala - $ 0.00 Honoree Sponsorship - $ 1,500.00 Honoree Sponsorship with Tickets - $ 2,000.00 Silver Supporter - $ 3,500.00 Gold Benefactor - $ 5,000.00 1 Table - 10 Tickets - $ 2,500.00 3.) You MUST choose one. a.) Choose "Gala - Attending" if you are planning on coming to the Gala b.) Choose "Gala - Not Attending" if you are NOT planning on coming to the Gala c.) Feel free to select a higher level of sponsorship for the Gala, you're donation goes a long way to helping provide the important programming of our Annual Symposium. Gala Sponsorship Levels:$1,500 Honoree Award Sponsorship which includes:One black and white full-page sponsorship advertisement in the Gala ProgramHonoree Sponsorship with Tickets which includes:–One black and white full-page sponsorship advertisement in the Gala Program and two Gala tickets!Silver Supporter which includes:–All from above plus a Premium Table of 10 at the Gala–Acknowledgement in The Voice Foundation’s marketing materials and website at a Corporate Sponsorship/Underwriters Silver LevelGold Benefactor which includes:–All from above plus a table with preferred seating–Back cover or inside cover four-color advertisement in the Gala Program–Acknowledgement in The Voice Foundation’s marketing materials and website at a Corporate Sponsorship/Underwriters Gold Level Total for this participant Payment Options Payment Method Authorize.net I will send payment by check. Credit Card Card Type - select - Visa MasterCard Amex Discover Card Number * Security Code * Expiration Date * -month- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec -year- 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 My billing address is the same as above Billing Name and Address Billing First Name * Billing Middle Name Billing Last Name * Street Address * City * Country * - select - United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo, Republic Of The Congo, The Democratic Republic of the Cook Islands Costa Rica Côte d’Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Serbia and Montenegro Seychelles Sierra Leone Singapore Sint Maarten (Dutch Part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syrian Arab Republic Taiwan Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe State/Province * - select State/Province - Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Postal Code * Review