2025 ANN Conference Registration - American Nystagmus Network

Step 1 of 3

REGISTRATION

For questions, please contact Evelyn Gonzalez at [email protected] or (510) 304-7122 (Pacific Time Zone)

Can we share your contact information with other conference attendees? We will provide a conference contact spreadsheet for those interested in sharing their information. *

Yes

Who Is Attending The Conference?

We’ll need to know who will be attending the conference (adults and children) and if children will be attending Camp Nystagmus.

How many adults (or children NOT attending Camp Nystagmus) will attend the conference?

Early Bird Price to attend is $225 (Price increases to $275 after May 1, 2025) Registration includes: Friday dinner, Saturday breakfast, lunch and dinner)

Price: $225.00

Please list the individual you'd like to be listed as your main registration contact.(Required)

This person should be included in your total attendees above.

First Last

Phone

Email(Required)

Please list the names of any additional adults attending the conference

Please include children attending the conference but NOT participating in Camp Nystagmus.

First Name

Last Name

for additional names, click the blue plus sign to the right

Do you have a child attending Camp Nystagmus?

Yes, I have a child attending Camp Nystagmus

No, I do not have a child attending Camp Nystagmus

The cost of your first child to attend Camp Nystagmus is $75. Additional children can attend Camp Nystagmus for $50 per child.

Name of child attending conference.

First

Last

Age of child attending conference

Grade Fall 2025

Do you have more than one child attending Camp Nystagmus?

Yes, I have more than one child attending Camp Nystagmus

No, I only have one child attending Camp Nystagmus

How many ADDITIONAL children will attend Camp Nystagmus

Price: $50.00

Please list names, ages, and grade for fall 2025 for each ADDITIONAL child attending Camp Nystagmus.

For additional names, click the blue plus icon to the right.

Name

Age

Grade Fall 2025

for additional names, click the blue plus sign to the right

Does anyone in your group have dietary restrictions?

Yes

Individuals in my group with dietary restrictions.

Examples of restrictions include: Vegan Vegetarian, Kosher, Halal, Gluten Free, Dairy Free, Nut Allergy, Fish Allergy, or other specified.

First Name

Last Name

Dietary Restriction

Conference Tee Shirt Order

If you’d like to order a conference Tee shirt, please indicate the size and quantities below. Adult and youth sizes are both $15 each. You may order adult or youth sizes for your camper.

Conference Tee Shirt Size

Quantity

Conference Tee Shirt

Quantity

Conference Tee Shirt Size

Quantity

Conference Tee Shirt Size

Quantity

Conference Tee Shirt Size

Quantity

Conference Tee Shirt Size

Quantity

OPTIONAL DONATION

The registration does not cover the total cost of the conference. We are also hosting a nystagmus research workshop prior to the conference. The workshop brings nystagmus researchers from around the world to share their knowledge and advances. We appreciate any donations you can make to help us fund this conference and the research workshop.

Total Cost For Registration

Total of registration fees, donations, tee-shirts, and Camp Nystagmus.