Registration Form - Tdlr

TEXAS DEPARTMENT OF LICENSING AND REGULATION

Compliance Division/Architectural Barriers

P. O. Box 12157 • Austin, Texas 78711 • (512) 539-5669 • (877) 278-0999 • Fax (512) 539-5690

Web site: • Email Address: architectural.barriers@tdlr.texas.gov

Texas Accessibility Academy

Registration Form

The Texas Accessibility Academy is a two-day comprehensive study of Texas Government Code,

Chapter 469, TDLR Administrative Rules, Chapter 68, and the 2012 Texas Accessibility Standards (TAS).

Attendees will also receive general information about how Chapter 469 and TAS relate to the Americans

with Disabilities Act (ADA) and the 2010 ADA Standards for Accessible Design.

This registration is applicable only to an Academy presented by TDLR in Austin, Texas.

To register for an Academy, please complete the following information and mail, ship, or hand deliver the

form and $150.00 registration fee to: TDLR, PO Box 12157, Austin, TX 78711 (920 Colorado, 78701).

If you require auxiliary aids, services, or materials in an alternate format, please contact TDLR at least ten

(10) business days prior to the meeting date

.

The date and location for each Academy is provided on the TDLR website.

Date and Location:

Applicants may select only one Academy per registration.

A separate registration and fee is required for each Academy.

8:00 a.m. until 5:00 p.m. daily

Time:

$150.00 per person

Tuition:

Make checks payable to: Texas Department of Licensing and Regulation

The department does not accept credit card(s) at this time.

No registration or fees will be accepted at the door.

The tuition fee is non-refundable and non-transferable to an alternate Academy

Cancellations:

date unless the registered Academy is full or cancelled by the department.

A substitute registrant will be allowed if the department is notified in writing of the

Substitutions:

new registrant information at least five (5) business days prior to the Academy.

No substitutes will be accepted at the door.

General Information: Attendees are responsible for their own hotel accommodations, meals, parking,

and travel to and from the Academy.

A course manual will be provided on the first day of the Academy.

A registration confirmation letter will be issued 6-8 weeks prior to the scheduled Academy.

If a class is full or has been cancelled, registrants will be notified by email.

P

P

T

LEASE

RINT OR

YPE

Start Date

End Date

(2-day) Academy

Month:

Day:

Year:

Month:

Day:

Year:

Requested:

1. Name:(Last)

(First)

2. Company Name:

3. Address:

Suite #:

City:

State :

Zip

Code:

4. Phone Number:

5. Fax Number:

6. Email Address:

TDLR FORM 010AB 04-13

NOTE: An individual who completes and files this form with the Texas Department of Licensing and Regulation (the Dept.) is entitled to the

following:

1)

to be informed about the information that the Dept. collects about the individual, upon their request and subject to a few exceptions;

2)

to receive and review the information, under Sections 552.021 and 552.023 of the Texas Govt. Code; and

3)

have the Department correct information about the individual that is incorrect, under Section 559.004 of the Texas Govt. Code.

**The Department will add your address to the Architectural Barriers email notification list, which automatically provides Department information on matters affecting Architectural

Barriers. Your email address is confidential pursuant to the Texas Public Information Act; the Department will not share it with the public. For additional information link to:

http://

/newsletters/TDLRnotificationLists.asp