Event Registration

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

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

NEW THIS YEAR 

NO need to pre-select your workshops. You may choose which workshop you would like to attend when you arrive that morning. Talk it over with your friends at Breakfast.

You will receive a Certificate of Attendance from all workshops you attend.

2022 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 Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

State/Province

Zip/Postal

Zip/Postal

Attendee / Employee Information

Employee First Name *

Employee Last Name

Employee Title *

Employee Email

Length of Employment

Permission to Record: By registering to participate in The Alliance of Community Service Providers 19th Annual DSP Conference, I consent to being photographed and/or audio or video recorded and understand that I am not entitled to any compensation or payment for the use of these materials. I release The Alliance of Community Service Providers, its employees, Board of Directors, and conference volunteers from any liability connected to the taking of or use of photos and/or recordings. *

I agree

COVID Policy: By registering to participate in The Alliance of Community Service Providers 19th Annual DSP Conference, I Acknowledge that I am fully vaccinated and agree to provide proof of such in advance. Furthermore, I acknowledge that by attending the conference there is a risk of contracting COVID and agree that I will not hold The Alliance of Community Service Providers, its employees, Board of Directors, conference participants and volunteers liable. *

I agree

Register Another Employee Remove Previous Entry

If you are human, leave this field blank.

Submit Registration

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