Event Registration

Register yourself or your employees for the DSP Conference online today.

Participants from The Alliance Member Agencies

$100 per person (Includes Breakfast & Lunch)

Participants from Non-Alliance Agencies

$125 per person (Includes Breakfast & Lunch)

Registrations accepted no later than April 15, 2020

The Alliance will send an invoice for payment

Checks should be made payable to:

The Alliance CSP
3300 Henry Avenue, Suite 100
Philadelphia, PA 19129

NOTE: Invoices or arrangements for large payments by agencies may be made by contacting Vicki Haggerty at 267-385-7440 or vicki@thealliancecsp.org

2019 DSP Conference Registration

Agency / Supervisor Information

Agency Name *

Agency Phone Number *

Agency Fax Number

Supervisor Name *

Supervisor Phone Number *

Supervisor Email Address *

Agency Address *
Agency Address

Agency Address

Agency Address

City
City

State/Province
State/Province

Zip/Postal
Zip/Postal

Attendee / Employee Information

Employee First Name *

Employee Last Name

Employee Title *

Employee Email

Workshop Session A *
(10:15am - 11:30am)

Workshop Session B *
(11:45pm - 1:00pm)

Workshop Session C *
(2:45pm - 4:00pm)

Length of Employment

Applying for PCB credits? *

Yes

No

View Workshop Descriptions Here
(descriptions open in a separate window)

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Contact The Alliance of Community Service Providers at (267) 385-7440 with any questions.