Registration for Professionals

ACT Workshop Series

September 26 - 27, 2026

Contact Information

*First Name:

*Last Name:

*Name as it should appear on Name Tag :

*Email:

*Street Address:

*City:

*State:

*Zip Code:

*Phone Number:

Additional Information

*Organization:

License Number (CE Credits):

*Profession:

*Do you have any food restrictions?(type N/A if none)

Workshop Registration

Session	Description	Cost
September 26 - 27, 2026	Full Workshop (up to 12 CE credits offered)	$325
September 26, 2026	Saturday Only (6 CE credits)	$185
September 27, 2026	Sunday Only (6 CE credits)	$185

Are you seeking CEs?

Yes, I'd like to receive CEs. No, I would like to attend without receiving CEs.

Comments

PayPal and Registration Confirmation

After hitting “submit” you will be directed to PayPal to finalize payment. Please enter your (attendee's) name in the popup window regardless of who is paying for the registration.

We will send your registration confirmation within 24 hours. If you do not receive a confirmation right away, please do not register again.