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Conference Online Registration

General Information

Please complete all fields below. Your online registration will be completed with your payment through PayPal.  You may also register via regular mail using the PDF registration form (print, complete, and mail along with your payment).

 
First Name:
 A value is required.
Last Name:
 A value is required.
Degree/License:
License# or Intern Registration#:
Address:
City
State:
     Zip
Phone:
Email:
 A value is required.
   

Workshop Selection

For each concurrent session, please identify your first and second choice for each session by selecting the workshop number from the drop down menu. Use the Session Lists below for reference. This information is for conference planning only—you may attend whichever workshops you would like on the day of the conference.
1st Session:
    
2nd Session:
    
3rd Session:
    

Session 1    9 – 10:30 AM

Session 2   10:45 AM – 12:15 PM

Session 3     2 – 3:30 PM
     

Conference Pre-Registration Fees

You may register at the door however, you save considerable money by pre-registering. Prices increase $30 on the day of the conference.

The cost of CE, breakfast, lunch, and parking for each attended workshop is included in the registration fee.

Select Your Category

  
Member:
$ 155 Current LAGPA Regular/Associate Member
$ 100 Current LAGPA Student/Intern/Retiree Member
Non-Member:
$ 185 Non-Member/Non-Associate Member
$ 130 Non-Member Student/Intern/Retiree
Other:
Sponsors/Presenters/Others
   
  security code
Enter Security Code:
   
     
 

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