Registrant Information

 
 
 
 
 
 
 
 
 

Registration Options

  • Registration deadline is October 7, 2019. After that, you can register on-site for an additional $20 fee ($10 for students).
  • Conference registration includes continental breakfasts, morning and afternoon breaks, luncheons, Welcome Reception, Business Meeting, Exhibit Hall and conference materials.
  • Confirmation will be sent upon receipt of registration.
  • Refunds less a 25% administrative fee will be given if requests are received prior to October 7, 2019. No refunds will be given after October 7, 2019. All refunds will be issued after the completion of the conference.
  • Attendees will receive contact hours for courses attended in their entirety. These contact hours qualify as continuing education as defined by the Wisconsin's Department of Safety and Professional Services. See course descriptions for specific contact hours.
 
  ½  Day 1  Day 1½  Days 2  Days 2½ Days
APTA/WPTA PT Member
 
 
 
 
APTA/WPTA PTA Member
 
 
 
 
PT/Other Non-Member
 
 
 
 
PTA Non-Member
 
 
 
 
APTA/WPTA Resident Member
 
 
 
 
Student
 
 
 
 
Non-PT PPSIG
 
 
 
 
Awards Dinner ONLY
 
 
  Late fee after October 08, 2019
 
Total       $

Course Selections

Thursday Courses Friday Courses
 

Event Selection

Please check all that you plan to attend.   Accurate head counts are needed to ensure everyone can be accomodated

Thursday Friday
 

Payment Information

 
Promo Code  
 
 
Total Amount
$
 
 
 
 
 
 

If paying by check or internationally accepted money order, please make it payable to WPTA.  Mail it to the address below, including a copy of your registration confirmation that will be emailed to you after you submit this form.

WPTA
3510 E Washington Avenue
Madison, WI 53704

 

Refund/Cancellation Policy

  • WPTA reserves the right to cancel this event, in which case all monies paid will be reimbursed
  • Refunds less a 25% administrative fee will be given if requests are received prior to October 7, 2019. No refunds will be given after October 7, 2019. All refunds will be issued after the completion of the conference.
  • All refunds will be issued after the completion of the conference
 

Send cancellation/refund requests to:

WPTA
3510 E Washington Avenue
Madison, WI 53704