2024 Conference Group Registration Form – Washington State Association of Drug Court Professionals and washington association of drug courts

The 2024 conference, Stronger Together – Inspiring Connection, consists of two tracks.

The first track is Wednesday, October 16, 2024 and Thursday, October 17, 2024, 8:30 a.m. – 4:30 p.m. and will have over 25 sessions by over 15 national and local speakers, all coming together to inspire connection among Washington state therapeutic courts with presentations on best practices and collaboration.

The second track is Friday, October 18, 2024, from 8:30 a.m. – 12:00 p.m., with presentations specifically for community courts and collaborative courts (such as Early Childhood Courts.)

Registrant Type *

Attendee
Other

IMPORTANT!!! IMPORTANT!!! IMPORTANT!!! IMPORTANT!!! IMPORTANT!!!

If you are a Sponsor, Presenter, WSADCP Board Member, or Conference Planning Committee Member, please click on the link below and complete the individual registration form:

2024 Individual Registration Form – Washington State Association of Drug Court Professionals and Washington association of drug courts (wsadcp.org)

Name of Entity/Organization/Court submitting this Group Registration *

Entity's/Organization's/Court's Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Name of Point of Contact for this Group Registration *

First

Last

Point of Contact's email address *

Email

Confirm Email

Point of Contact's telephone number *

What is the affiliation to a therapeutic court?

Pick the type of therapeutic court(s) the Entity’s/Organization’s/Court submitting this group registration has an affiliation?

Therapeutic Court Type *

Therapeutic Court Type (specify) *

If you selected “Other” above please specify.

Court Level/Type *

Court Level/Type (specify) *

If you selected “Other” above please specify.

Court location (County)

Federally Recognized Tribes *

Other Tribe (specify)

Please enter the name of the city/town of the Municipal Court *

Group Registration

Provide the following information for each person in the group registration.

Number of individuals listed in this group registration. (Maximum of 5; if more complete another group registration) *

Name of Person #1 *

First

Last

Person #1's Title for your name tag (Pick from the list or choose Other to write you own) *

Please use this title on Person #1's name tag:

Person #1's Email *

Person #1's Phone Number *

Person #1's Registration Selection for October 16 and 17, 2024 *

I am not attending Wednesday, 10/16/24 or Thursday, 10/17/24 – $0.00
Single Day – Wednesday, 10/16/24 – $250.00
Single Day – Thursday, 10/17/24 – $250.00
Two Day Discount – Wednesday, 10/16/24, and Thursday, 10/17/24 – $350.00

Person #1's Registration Selection for October 18, 2024 (event ends by noon.) *

I registered for Single Day – Wednesday, 10/16/24, am adding Friday, October 10/18/24 – $75.00
I registered for Single Day – Thursday, 10/17/24, am adding Friday, 10/18/24 – $75.00
I will attend only the 1/2 Day – Friday, 10/18/24 (event ends by noon.) – $150.00
I am attending both 10/16/24 and 10/17/24 will attend the ½ day on 10/18/24 – $0.00
I will not attend on 10/18/24 – $0.00

Person #1 – Registration selection confirmation *

Yes, I double checked the selections and they are correct.

Please review to make sure the selections for this person are correct. Make sure the selection for the October 16 and 17, 2024 correctly match with the selection for October 18, 2024.

Person #1 Dietary Preferences (Lunch will only be offered on Wednesday and Thursday. There will not be a lunch on Friday.) *

Hold down the CTRL Key to make multiple selections.

Person #1 Continuing Education Credits – WSADCP can offer CEU credits for this series. *

Hold down the CTRL Key to make multiple selections.

Person #1 Legal and Judicial Education Credits – WSADCP can offer CLEs and CJEs credits for this series. *

Hold down the CTRL Key to make multiple selections.

Person #1 If requesting Legal or Judicial credits enter BAR number here. *

Name of Person #2 *

First

Last

Person #2's Title for your name tag (Pick from the list or choose Other to write you own) *

Please use this title on Person #2's name tag:

Person #2's Email *

Person #2's Phone Number *

Person #2's Registration Selection for October 16 and 17, 2024 *

I am not attending Wednesday, 10/16/24 or Thursday, 10/17/24 – $0.00
Single Day – Wednesday, 10/16/24 – $250.00
Single Day – Thursday, 10/17/24 – $250.00
Two Day Discount – Wednesday, 10/16/24, and Thursday, 10/17/24 – $350.00

Person #2's Registration Selection for October 18, 2024 (event ends by noon.) *

I registered for Single Day – Wednesday, 10/16/24, am adding Friday, October 10/18/24 – $75.00
I registered for Single Day – Thursday, 10/17/24, am adding Friday, 10/18/24 – $75.00
I will attend only the 1/2 Day – Friday, 10/18/24 (event ends by noon.) – $150.00
I am attending both 10/16/24 and 10/17/24 will attend the ½ day on 10/18/24 – $0.00
I will not attend on 10/18/24 – $0.00

Person #2 – Registration selection confirmation *

Yes, I double checked the selections and they are correct.

Please review to make sure the selections for this person are correct. Make sure the selection for the October 16 and 17, 2024 correctly match with the selection for October 18, 2024.

Person #2 Dietary Preferences (Lunch will only be offered on Wednesday and Thursday. There will not be a lunch on Friday.) *

Hold down the CTRL Key to make multiple selections.

Person #2 Continuing Education Credits – WSADCP can offer CEUs credits for this series. *

Hold down the CTRL Key to make multiple selections.

Person #2 Legal and Judicial Education Credits – WSADCP can offer CLEs and CJEs credits for this series. *

Hold down the CTRL Key to make multiple selections.

Person #2 If requesting Legal or Judicial credits enter BAR number here. *

Name of Person #3 *

First

Last

Person #3's Title for your name tag (Pick from the list or choose Other to write you own) *

Please use this title on Person #3's name tag:

Person #3's Email *

Person #3's Phone Number *

Person #3's Registration Selection for October 16 and 17, 2024 *

I am not attending Wednesday, 10/16/24 or Thursday, 10/17/24 – $0.00
Single Day – Wednesday, 10/16/24 – $250.00
Single Day – Thursday, 10/17/24 – $250.00
Two Day Discount – Wednesday, 10/16/24, and Thursday, 10/17/24 – $350.00

Person #3's Registration Selection for October 18, 2024 (event ends by noon.) *

I registered for Single Day – Wednesday, 10/16/24, am adding Friday, October 10/18/24 – $75.00
I registered for Single Day – Thursday, 10/17/24, am adding Friday, 10/18/24 – $75.00
I will attend only the 1/2 Day – Friday, 10/18/24 (event ends by noon.) – $150.00
I am attending both 10/16/24 and 10/17/24 will attend the ½ day on 10/18/24 – $0.00
I will not attend on 10/18/24 – $0.00

Person #3 – Registration selection confirmation *

Yes, I double checked the selections and they are correct.

Please review to make sure the selections for this person are correct. Make sure the selection for the October 16 and 17, 2024 correctly match with the selection for October 18, 2024.

Person #3 Dietary Preferences (Lunch will only be offered on Wednesday and Thursday. There will not be a lunch on Friday.) *

Hold down the CTRL Key to make multiple selections.

Person #3 Continuing Education Credits – WSADCP can offer CEUs credits for this series. *

Hold down the CTRL Key to make multiple selections.

Person #3 Legal and Judicial Education Credits – WSADCP can offer CLEs and CJEs credits for this series. *

Hold down the CTRL Key to make multiple selections.

Person #3 If requesting Legal or Judicial credits enter BAR number here. *

Name of Person #4 *

First

Last

Person #4's Title for your name tag (Pick from the list or choose Other to write you own) *

Please use this title on Person #4's name tag:

Person #4's Email *

Person #4's Phone Number *

Person #4's Registration Selection for October 16 and 17, 2024 *

I am not attending Wednesday, 10/16/24 or Thursday, 10/17/24 – $0.00
Single Day – Wednesday, 10/16/24 – $250.00
Single Day – Thursday, 10/17/24 – $250.00
Two Day Discount – Wednesday, 10/16/24, and Thursday, 10/17/24 – $350.00

Person #4's Registration Selection for October 18, 2024 (event ends by noon.) *

I registered for Single Day – Wednesday, 10/16/24, am adding Friday, October 10/18/24 – $75.00
I registered for Single Day – Thursday, 10/17/24, am adding Friday, 10/18/24 – $75.00
I will attend only the 1/2 Day – Friday, 10/18/24 (event ends by noon.) – $150.00
I am attending both 10/16/24 and 10/17/24 will attend the ½ day on 10/18/24 – $0.00
I will not attend on 10/18/24 – $0.00

Person #4 – Registration selection confirmation *

Yes, I double checked the selections and they are correct.

Please review to make sure the selections for this person are correct. Make sure the selection for the October 16 and 17, 2024 correctly match with the selection for October 18, 2024.

Person #4 Dietary Preferences (Lunch will only be offered on Wednesday and Thursday. There will not be a lunch on Friday.) *

Hold down the CTRL Key to make multiple selections.

Person #4 Continuing Education Credits – WSADCP can offer CEUs credits for this series. *

Hold down the CTRL Key to make multiple selections.

Person #4 Legal and Judicial Education Credits – WSADCP can offer CLEs and CJEs credits for this series. *

Hold down the CTRL Key to make multiple selections.

Person #4 If requesting Legal or Judicial credits enter BAR number here. *

Name of Person #5 *

First

Last

Person #5's Title for your name tag (Pick from the list or choose Other to write you own) *

Please use this title on Person #5's name tag:

Person #5's Email *

Person #5's Phone Number *

Person #5's Registration Selection for October 16 and 17, 2024 *

I am not attending Wednesday, 10/16/24 or Thursday, 10/17/24 – $0.00
Single Day – Wednesday, 10/16/24 – $250.00
Single Day – Thursday, 10/17/24 – $250.00
Two Day Discount – Wednesday, 10/16/24, and Thursday, 10/17/24 – $350.00

Person #5's Registration Selection for October 18, 2024 (event ends by noon.) *

I registered for Single Day – Wednesday, 10/16/24, am adding Friday, October 10/18/24 – $75.00
I registered for Single Day – Thursday, 10/17/24, am adding Friday, 10/18/24 – $75.00
I will attend only the 1/2 Day – Friday, 10/18/24 (event ends by noon.) – $150.00
I am attending both 10/16/24 and 10/17/24 will attend the ½ day on 10/18/24 – $0.00
I will not attend on 10/18/24 – $0.00

Person #5 – Registration selection confirmation *

Yes, I double checked the selections and they are correct.

Please review to make sure the selections for this person are correct. Make sure the selection for the October 16 and 17, 2024 correctly match with the selection for October 18, 2024.

Person #5 Dietary Preferences (Lunch will only be offered on Wednesday and Thursday. There will not be a lunch on Friday.) *

Hold down the CTRL Key to make multiple selections.

Person #5 Continuing Education Credits – WSADCP can offer CEUs credits for this series. *

Hold down the CTRL Key to make multiple selections.

Person #5 Legal and Judicial Education Credits – WSADCP can offer CLEs and CJEs credits for this series. *

Hold down the CTRL Key to make multiple selections.

Person #5 If requesting Legal or Judicial credits enter BAR number here. *

Terms and Conditions including potential exposure to COVID-19
An inherent risk of exposure to COVID-19 exists in any public place where people are present. COVID-19 is an extremely contagious disease that can lead to severe illness and death. According to the Centers for Disease Control and Prevention, senior citizens and individuals with underlying medical conditions are especially vulnerable.

The Washington Association of Drug Court Professionals cannot prevent you from becoming exposed to, contracting, or spreading COVID-19 while attending this conference. It is not possible to prevent against the presence of the disease. Therefore, if you choose to attend this conference, you may be exposing yourself to and/or increasing your risk of contracting or spreading COVID-19. We recommend that attendees follow CDC guidelines to minimize any risk of exposure.

By attending this conference, you voluntarily assume all risks associated with exposure to COVID-19 and forever release and hold harmless the Washington Association of Drug Court Professionals and each of their officers, directors, agents, employees, or other representatives from any liability or claims including for personal injuries, death, disease, or property losses, or any other loss, including but not limited to claims of negligence and give up any claims you may have to seek damages, whether known of unknown, foreseen or unforeseen in connection with exposure, infection, and/or the spread of COVID-19 related to the participation in this conference.

Agree to the Terms and Conditions including potential exposure to COVID-19 *

Yes, I agree to the terms and conditions

I am paying this group registration with the credit card listed below: *

All Payments are final. There will not be any refunds

Total Amount

$0.00

Stripe Credit Card *

Card

Name on Card