Register as an Attendee

If registering multiple people from the same agency, follow these steps:

  1. Complete this form for your first attendee and click send.
  2. Upon clicking send, click "Add to Cart".
  3. After clicking "Add to Cart," click "Add Another Registration".
  4. When finished, either pay via PayPal or mail a check.


Attendee Registration

*First Name:
*Last Name:

*Agency Name:
*Zip Code:

*Daytime Phone Number:
*E-Mail Address:

*Level of Certification:
*Tee Shirt Size:

Select from the following


Registration is not complete until you pay.

Click button below to continue to payment.