Clone of 2025 Annual Conference Registration

Your Name

PrefixFirst NameLast Name

Spouse's Name

PrefixFirst NameLast Name

Is this your first time attending our annual conference?

Graduates Only:

E-mail

example@example.com

Contact Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Your Banquet Meal Meat Choice:

Your Spouse's Banquet Meal Meat Choice:

My Products

Conference Registration Single

Includes Friday and Saturday Workshops**, Banquet Dinner Friday (Limited Seating), and 10 CEUs. EARLY BIRD PRICE - ** Must attend Friday and Saturday to receive CEU's.

$199.00 Quantity

Conference Registration Married Couple

Includes Friday and Saturday Workshops**, Banquet Dinner Friday (Limited Seating) and 10 CEUs for two. EARLY BIRD PRICE - ** Must attend Friday and Saturday to receive CEU's.

$339.00 Quantity

Workshops Only

Friday and Saturday workshops** for an individual. Includes 10 CEU's. ** Must attend Friday and Saturday to receive CEU's.

$129.00 Quantity

Friday Lunch Ticket

Lunch on the propertyFriday, July 17th

$40.00 Quantity

Saturday Breakfast Ticket

Brunch served on the property Saturday, July 18th

$25.00 Quantity

Banquet Ticket

Banquet Dinner Friday, July 17 (Limited Seating**) 6:30 PM - 9:00 PM.

$100.00 Quantity

Graduation Fee / All Graduates

All graduates to pay graduation fee.

$25.00 Quantity

Vendor Table with Two Chairs

$100.00

Total

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

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Registration

My Products*

Payments are being processed by The Georgia Christian Counselors Association.

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