TLPCA Counseling and Therapy Summit

Registration & Payment

MEMBERS: Please log in before registering for the conference.

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Membership

Guest Membership

TLPCA Account

In order to obtain continuing education credits for the 2024 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*

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Password*

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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 14

Saturday, June 15

Friday AM Pre-Conference Selection

Pre-Conference Details

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

AM #2 - 9am-12pm (AI/Technology & Counseling)

AM #3 - 9am-12pm (Private Practice)

Friday PM Pre-Conference Selection

Pre-Conference Details

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

PM #2 - 1:30pm-4:30pm (Trauma - IFS Training)

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

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

Regional Rep

$0.00

Board

$0.00

Committee Chair

$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

Cumberland Heights

$0.00

LIfeStance

$0.00

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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

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Payment Information

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Payment Options*

Credit Card

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MasterCard

Visa

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

Card Number

Expiration Date Month Year

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Annual Conference