Register for the WCPG Annual
Statewide Conference

All rates include breaks. Lunch is included with Thursday and Friday registration. Early registration rates deadline is February 19, 2025.

Email *

Name *

First

Last

Title

Organization

Address *

Address Line 1

City

State

Zip Code

Phone *

EAP Continuing Education *

Yes
No

Select your registration preference *

Ethics -Workshop Only (March 19, 1:00pm-5:00pm) - $40.00
Pre-Conference (March 19, 8:00am-12:00pm) “Disordered Gambling: A Combination of Fantasy & Cognitive Distortion” - Jerry Bauerkemper - $35.00
Pre-Conference (March 19, 9:00am-4:00pm) “The Basics of Clinical Supervision” - Karen Edens - $55.00
Full Conference Rate (NOT INCLUDING PRE-CONFERENCE) - $175.00
Full Conference AND Pre-Conference presentation “Disordered Gambling: A Combination of Fantasy & Cognitive Distortion” - Jerry Bauerkemper - $205.00
Full Conference AND Pre-Conference presentation “The Basics of Clinical Supervision” - Karen Edens - $225.00
Thursday Only - $125.00
Friday Only - $125.00

“Ethics in the Clinical Relationship” - MUST PRE-REGISTER, INCLUDED IN FULL CONFERENCE REGISTRATION *

Attending
Not Attending

Dietary restrictions *

None
Vegetarian

Awards Banquet *

Attending
Not Attending

Thursday, March 20, 2025 6:00pm - 9:00pm - .75 CEU (The Full Conference and Thursday Only Rates include the Awards Banquet at no additional cost, but you must register ahead of time.)

Add non-registered Banquet Guest for $30.00

Yes

Awards Banquet Guest Dietary Restrictions

None
Vegetarian

Become or renew your Bronze or higher Membership or join now and save $35 off Full Conference Registration! *

Yes
No

For your Membership discount, please enter your membership amount minus $35 ( example: Membership of $75 -$35 = $40, enter in $40 )

($75.00 or higher for discount)

If there are 3 or more people attending from one organization each will receive $10 off their registration fees. Use code: MyDiscount to apply the $10 discount.

Payment: How will you be paying? *

Credit Card - Includes a $3 processing fee through PayPal (you do not need to have a PayPal account) - $3.00
I will mail check or money order to the WCPG, 1585 Allouez Ave, Green Bay, WI 54311. - $0.00

Total

$0.00

Notes:

Website

Register for the WCPG AnnualStatewide Conference

Register for the WCPG Annual
Statewide Conference