2023 TIC-CON

Registration Form

Attendee Registration

Personal Information

First Name

Last Name

Country

Street Address

City

State

Zip/Postal Code

Home Phone

Ticket Options

Packages

Payment Section

Additional Information

I am a(n)

Practice Area

I am a(n)

Will your child be attending TIC-CON?

Does your child have a formal diagnosis of Tourette Syndrome or Tic Disorder?

Age range of child

We encourage ages 13 and up to register for the conference

Do you have a formal diagnosis of Tourette Syndrome or Tic Disorder

Which of the following best describes the area in which you live?

Age Range

What gender do you identify as?

We will be offering automated translations of the sessions and elements of the virtual site in Spanish, Chinese (Simplified), Korean, and Russian. Would you be interested in receiving instructions on accessing these translations?

Which language would you be interested in accessing?

Which of the following ethnic and racial categories best describes you?

Household Income Level

How did you hear about this Conference?