State Conference Attendee Registration 2026

Please note: Early bird registration closes on August 31, 2026 Registration ends on October 2nd. There is NO on-site registration. Registration price includes CE Certificate * pending approval from ASWB ACE

Name
This field is for validation purposes and should be left unchanged.
Name*
First Last
Home Address*
Street Address Address Line 2 City State ZIP Code
Employer*
Employer Address*
Street Address Address Line 2 City State ZIP Code
Preferred Email*
Preferred Phone*
Current Job Position*
If Other, Please Specify
Work Setting*
Region*
CE Credit Interest*
Pending Approval By ASWB ACE* Are you interested in seeking CE credits for licensure?
Dietary Needs
Please list allergies/vegetarian/gluten intolerance etc.
Cost*
Early Bird Registration closed Aug. 31 11:59pm *Current Member (has 25-26 membership, does NOT include 26-27 *Current Member+ (has a membership for 25-26; includes membership for 26-27) *Non-member (does not have a membership for 25-26; includes membership for 26-27) *The presenter registration fee is for those who wish to attend the conference in addition to presenting on a topic.
Payment Option*
If paying with paypal, a service fee applies. If mailing a check, please make payment to VASSW and mail to: Annette Lumsden-Cook 3204 McDonough St. Richmond, VA 23225
Total
$0.00