Registration The Future Is Now: Legal Services 2021 Registration Form Register to attend The Future Is Now: Legal Services 2021 by submitting this form. Each day is approved for 1.75 hours of professional responsibility CLE credit. Name* First Last Email* Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Illinois ARDC NumberEmployer*Location of organizationPlease SelectLarge urban areaMedium-sized citySmall city / rural areaType of organizationPlease SelectLaw firmJudicialGovernmentCorporateNon-profit/legal aidAcademicStudentOtherOrganization sizePlease SelectFewer than 1010-3535-100100+Practice areaPlease SelectBankruptcy lawBusiness lawCivil rights lawCriminal lawEmployment lawEnvironmental lawFamily lawGeneral practiceHealth lawImmigration lawIntellectual property lawJudicialPersonal injury lawReal estate lawTax lawN/AOtherHow did you hear about The Future Is Now?Please Select2Civility websiteSocial media2Civility emailMediaWord of mouthI’ve attended beforeI would like to subscribe to: 2Civility blog monthly newsletter (1 email per month) 2Civility blog weekly newsletter (1 email per week) We would like to invite you to participate in a Continuing the Conversation discussion after each day of The Future Is Now. The optional, 30-minute conversation will provide attendees the option to ask questions and discuss the topics covered in greater detail. (CLE credit will not be provided.)Would you be interested in participating in Continuing the Conversation? Yes No Registration OptionsPlease Select*April 27, 12-2 p.m. CDT: Future Law track - $25.00 (1.75 hours of professional responsibility CLE)April 28, 12-2 p.m. CDT: Well-being track - $25.00 (1.75 hours of mental health and substance abuse PR CLE)April 29, 12-2 p.m. CDT: Diversity, equity, and inclusion track - $25.00 (1.75 hours of diversity and inclusion PR CLE)All three tracks - $50.00 (5.25 hours of professional responsibility CLE, including 1.75 hours of mental health and substance abuse and 1.75 hours of diversity and inclusion CLE)Coupon Total $0.00 Credit Card Card Details Cardholder Name