Annual Parenting Conference Exhibitor Registration Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. Staff I Staff Sponsoring Agency Name *Agency Representative Name *FirstLastAddress *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Exhibitor Schedule8:30 am Exhibitor Setup 2:00 pm Exhibitor Breakdown *Limited number of Exhibit Tables – first come, first servedExhibitor Registration *Price: $200.00Includes one table, one chair, and lunch for one.I would like additional staff members/chairs *YesNoAdditional Staff Members/Chairs QuantityOne Additional Staff Member - $50.00Two Additional Staff Members - $100.00Includes lunchAdditional Staff Member 1 Name *FirstLastAdditional Staff Member 1 Email *Additional Staff Member 2 Name *FirstLastAdditional Staff Member 2 Email *Total$0.00Stripe Credit Card *Submit Annual Parenting ConferenceThursday, June 11, 2026 9:00 am - 2:00 pm DCF Training Center 30 Van Dyke Avenue New Brunswick, NJ 08901