TLPCA Counseling and Therapy Summit

Registration & Payment

MEMBERS: Please log in before registering for the conference.

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User

TLPCA Account

In order to obtain continuing education credits for the 2025 Counseling and Therapy Summit, attendees MUST have one of the following TLPCA membership categories: (1) a membership in TLPCA, or (2) a free guest membership with TLPCA. A guest membership will be created automatically when you register for the Summit if you are not logged in and do not already have a membership. If you already have an account, make sure to log in before registering. If you have any questions, please contact us via email at info@tlpca.net.

Name*

First Last

Email*

Enter Email Confirm Email

Preferred Name on Badge*

Add a Free Guest Membership*

This is required to register for the conference if you are not already a member of TLPCA. If you already have a membership with TLPCA, log in before registering. If you'd like a paid membership with TLPCA to get a discount on the summit, see our membership options.

Guest Membership

Username*

Password*

Please keep track of this password for your records.

Enter Password Confirm Password

Registration Designation*

Pricing

TLPCA Professional Member

TLPCA Student or Retired Member

Non-Member, Guest Member, TNAMFT or TNAPT Member

Volunteer

Attendance

If you are a volunteer, make sure to check off both days to receive your discounted rate.

I will be attending the following dates:*

IMPORTANT: select all that apply.

Friday, June 13

Saturday, June 14

Friday AM Pre-Conference Selection*

Pre-Conference Details

AM #1 - 9am-12pm (Supervision)

AM #2 - 9am-12pm (Trauma)

AM #3 - 9am-12pm (Documentation/Treatment Planning)

I'm not attending in the morning.

Friday PM Pre-Conference Selection*

Pre-Conference Details

PM #1 - 1:30pm-4:30pm (Ethics)

PM #2 - 1:30pm-4:30pm (Wellness)

PM #3 - 1:30pm-4:30pm (Suicide Assessment/Intervention)

I'm not attending in the afternoon.

Professional Both Days

Price:

Student/Retired Both Days

Price:

Volunteer Both Days

Price:

Non-Member, Guest Member, TNAMFT, TNAPT Both Days

Price:

Professional Friday-Only AM

Price:

Student/Retired Friday-Only AM

Price:

Non-Member, Guest Member, TNAMFT, TNAPT AM

Price:

Professional Friday-Only Ethics

Price:

Student/Retired Friday-Only Ethics

Price:

Non-Member, Guest Member, TNAMFT, TNAPT Friday-Only Ethics

Price:

Professional Friday-Only PM Non-Ethics

Price:

Student/Retired Friday-Only PM Non-Ethics

Price:

Non-Member, Guest Member, TNAMFT, TNAPT Friday-Only PM Non-Ethics

Price:

Professional Saturday-Only

Price:

Student/Retired Saturday-Only

Price:

Non-Member, Guest Member, TNAMFT, TNAPT Saturday-Only

Price:

Subtotal

$0.00

Discount Code

If you are eligible for a registration coupon code (i.e. TLPCA leadership, TNAMFT/TNAPT) but have not already received one, please contact Robin Lee at executivedirector@tlpca.net.

Presenter

$0.00

Board

$0.00

TNAMFT

$0.00

TNAPT

$0.00

Sponsor

$0.00

Exhibitor

$0.00

TLPCA

$0.00

CSI

$0.00

Poster

$0.00

Volunteer

$0.00

New Professor

$0.00

MHC

$0.00

Ellie

$0.00

Cumberland Heights

$0.00

LIfeStance

$0.00

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Number

Contact Information

Job Title

Organization

Primary Address*

Street Address Address Line 2 City State ZIP Code

Cell Phone*

Work Phone

Are you a National Certified Counselor (NCC)?

Yes

Are you a first-time attendee to the TLPCA conference?

Yes

I serve TLPCA in the following capacity:

Regional Representative

Executive Board Member

Committee Chair

Volunteer

Presenter

We are offering our attendees the opportunity to “go green” this year and utilize an electronic conference program. However, if you would like a hard copy of the program, there will be an extra charge of $10.*

I would like to purchase a hard copy of the conference program for $10.

I DO NOT want a hard copy of the conference program. I understand that by clicking here, I will not receive a hard copy at the time of onsite check-in.

Printed Program

Price:

Are you a student or a retired member?*

Student

Retired

Do you need to purchase extra lunch tickets?

Yes

Student Information

Degree*

Institution*

Anticipated Graduation Date:*

MM slash DD slash YYYY

TNAMFT/TNAPT Information

TNAMFT and TNAPT members will receive a 20% discount off the non-member price. To receive the coupon code, please email executivedirector@tlpca.net. Your TNAMFT or TNAPT member number will be required to receive the discount.

TNAMFT/TNAPT Member Number:

Extra Lunch Ticket Option

You may purchase lunch on either day for non-attendees.

Friday Lunch Quantity

Price: $25.00

Quantity

Saturday Lunch Quantity

Price: $25.00

Quantity

Extra Lunch Attendee Information

Click on the + button to add multiple names.

Full Name

Email Address

Affiliation (Person/Organization)

Payment Information

Total

Payment Options*

Credit Card

Credit Card*

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name

Billing Address*

Street Address Address Line 2 City State ZIP Code

This field is for validation purposes and should be left unchanged.

Annual Conference