APA On Location Workshop Registration

APA On Location

Chicago, IL
June 26-27, 2026

Fields marked with an asterisk (*) are required.

Name

First NameMiddle NameLast Name

Degree

Organization

APA Member

Select the workshop(s) that you would like to purchase. Special bundle price: attend all four workshops - $600 ($100 savings!) Individual workshop(s): $175.

Number of Workshop

Registration Fee

Registration Fee($)

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Work Phone

Cell Phone

Email

Confirmation Emailexample@example.com

How did you hear about us?

Are you a licensed practitioner?

If Yes, what profession are you licensed in?

Total

USDDescription

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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