2026 Leadership Conference - Member Registration

2026 WASCOP Leadership Conference Registration

April 27-30, 2026 at the Ramkota in Casper, WY
Agency Name*
Agency Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Agency Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.

Be sure to select the number of attendees!!*

Member Conference Registration

WASCOP membership dues must be paid to get this rate! Membership dues can be paid on WASCOP.com

$185.00 Number of Attendees

Non-Member Conference Registration

$300.00 Number of Attendees

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Name of Attendee*

First NameLast Name
Title*
T-Shirt Size For Attendee*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Name of 2nd Attendee*

First NameLast Name
Title*
T-Shirt Size For Attendee*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Name of 3rd Attendee*

First NameLast Name
Title*
T-Shirt Size For Attendee*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Name of 4th Attendee*

First NameLast Name
Title*
T-Shirt Size For Attendee*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Name of 5th Attendee*

First NameLast Name
Title*
T-Shirt Size For Attendee*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Name of 6th Attendee*

First NameLast Name
Title*
T-Shirt Size For Attendee*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Name of 7th Attendee*

First NameLast Name
Title*
T-Shirt Size For Attendee*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Name of 8th Attendee*

First NameLast Name
Title*
T-Shirt Size For Attendee*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Name of 9th Attendee*

First NameLast Name
Title*
T-Shirt Size For Attendee*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Name of 10th Attendee*

First NameLast Name
Title*
T-Shirt Size For Attendee*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Should be Empty:

2026 WASCOP Leadership Conference Registration