2024 Individual Registration Form Please enable JavaScript in your browser to complete this form.The 2024 conference, Stronger Together – Inspiring Connection, consists of two tracks. The first track is Wednesday, October 16, 2024 and Thursday, October 17, 2024, 8:30 a.m. – 4:30 p.m. and will have over 25 sessions by over 15 national and local speakers, all coming together to inspire connection among Washington state therapeutic courts with presentations on best practices and collaboration. The second track is Friday, October 18, 2024, from 8:30 a.m. – 12:00 p.m., with presentations specifically for community courts and collaborative courts (such as Early Childhood Courts.) Registrant Type *AttendeePresenterSponsorWSADCP/WADC Board Member2024 Conference Planning CommitteeName *FirstLastTitle for your name tag (Pick from the list or choose Other to write your own) *Select one or moreCoordinatorProsecuting Attorney/District AttorneyDefense AttorneyJudgeCompliance SpecialistConference/Training SponsorLaw EnforcementTreatment ProfessionalRecovery Support ProfessionalTherapeutic Court ParticipantTherapeutic Court GraduateAdvocateOther – specify in box belowPlease use this title on my name tagRegistration Selection for October 16 and 17, 2024 *I am not attending Wednesday, 10/16/24 or Thursday, 10/17/24 – $0.00Single Day – Wednesday, 10/16/24 – $250.00Single Day – Thursday, 10/17/24 – $250.00Two Day Discount – Wednesday, 10/16/24, and Thursday, 10/17/24 – $350.00Registration Selection for October 16 and 17, 2024 *I am not attending Wednesday, 10/16/24 or Thursday, 10/17/24 – $0.00Single Day – Wednesday, 10/16/24 – $0.00Single Day -Thursday, 10/17/24 – $0.00Two Day Discount – Wednesday, 10/16/24, and Thursday, 10/17/24 – $0.00Registration Selection for October 18, 2024 (event ends by noon.) *I registered for Single Day – Wednesday, 10/16/24, am adding Friday, 10/18/24 – $75.00I registered for Single Day – Thursday, 10/17/24, am adding Friday, 10/18/24 – $75.00I will attend only the 1/2 Day – Friday, 10/18/24 (event ends by noon.) – $150.00I am attending both 10/16/24 and 10/17/24 will attend the ½ day on 10/18/24 – $0.00I will not attend on 10/18/24 – $0.00Registration Selection for October 18, 2024 (event ends by noon.) *I registered for Single Day – Wednesday, 10/16/24, am adding Friday, October 10/18/24 – $0.00I registered for Single Day – Thursday, 10/17/24, am adding Friday, 10/18/24 – $0.00I will attend only the 1/2 Day – Friday, 10/18/24 (event ends by noon.) – $0.00I am attending both 10/16/24 and 10/17/24 will attend the ½ day on 10/18/24 – $0.00I will not attend on 10/18/24 – $0.00Person's – Registration selection confirmation *Yes, I double checked the selections and they are correct.Please review to make sure the selections for this person are correct. Make sure the selection for October 16 and 17, 2024 correctly match with the selection for October 18, 2024.Payment Options *I am paying for my registration via credit cardSomeone else will be paying for my registration (please specify below)All payments are final. There will not be any refunds.Name of Person who will pay this registration *Email address of person making payment (This individual will receive a copy of this registration. It is your responsibility to follow up with this person to ensure timely payment.) *Total Amount$0.00Stripe Credit Card *CardName on CardDietary Preferences (Lunch will only be offered on Wednesday and Thursday. There will not be a lunch on Friday.) *Choose one or moreI have not dietary restrictionsGluten Free optionVegan optionVegetarian optionDairy Free optionNo thanks I'm not eating lunchHold down CTRL key to make multiple selectionsEmployer (if you are a Volunteer, Therapeutic Court Participant, or Graduate you may leave blank)Registrant Email *Registrant Mailing Address *Address Line 1Address Line 2City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeRegistrant Phone *Continuing Education Credits – WSADCP can offer CEU credits for this series. *Select oneNo thanks, I don’t need education creditsI want to receive Continuing Education Credits (CEUs)Hold down the CTRL Key to make multiple selections.Legal and Judicial Education Credits – WSADCP can offer CLEs and CJEs credits for this series. *Select one or moreNo thanks, I don’t need education creditsI want to receive CLEsI want to receive CJEsHold down the CTRL Key to make multiple selections.If requesting Legal or Judicial credits enter BAR number here. *Therapeutic Court Type *Select one or moreNot Affiliated with a specific treatment court modelAdult Drug CourtJuvenile Drug CourtFamily Treatment/Family Dependence CourtMental Health CourtVeterans CourtDUI CourtDomestic Violence CourtTribal Healing to Wellness CourtTruancy CourtCommunity CourtGang CourtOther – specifyTherapeutic Court Type (specify) *If you selected “Other” above please specify.Court Level/Type *Select one or moreSuperior CourtDistrict CourtMunicipal CourtFederalTribalOther – specifyCourt Level/Type (specify) *If you selected “Other” above please specify.Court location (County) *Select one or moreAdams CountyAsotin CountyBenton CountyChelan CountyClallam CountyClark CountyColumbia CountyCowlitz CountyDouglas CountyFerry CountyFranklin CountyGarfield CountyGrant CountyGrays Harbor CountyIsland CountyJefferson CountyKing CountyKitsap CountyKittitas CountyKlickitat CountyLewis CountyLincoln CountyMason CountyOkanogan CountyPacific CountyPend Oreille CountyPierce CountySan Juan CountySkagit CountySkamania CountySnohomish CountySpokane CountyStevens CountyThurston CountyWahkiakum CountyWalla Walla CountyWhatcom CountyWhitman CountyYakima CountyFederally Recognized Tribes *Select oneConfederated Tribes and Bands of the Yakama NationConfederated Tribes of the Chehalis ReservationConfederated Tribes of the Colville ReservationCowlitz Indian TribeHoh Indian TribeJamestown S’Klallam TribeKalispel Tribe of IndiansLower Elwha Klallam TribeLummi NationMakah TribeMuckleshoot Indian TribeNisqually Indian TribeNooksack Indian TribePort Gamble S’Klallam TribePuyallup TribeQuileute TribeQuinault Indian NationSamish Indian NationSauk-Suiattle Indian TribeShoalwater Bay Indian TribeSkokomish Indian TribeSnoqualmie Indian TribeSpokane Tribe of IndiansSquaxin Island TribeStillaguamish Tribe of IndiansSuquamish TribeSwinomish Indian Tribal CommunityTulalip TribesUpper Skagit Indian TribeOther – specifyOther Tribe (specify)Please enter the name of the city/town of the Municipal Court *Terms and Conditions including potential exposure to COVID-19An inherent risk of exposure to COVID-19 exists in any public place where people are present. COVID-19 is an extremely contagious disease that can lead to severe illness and death. According to the Centers for Disease Control and Prevention, senior citizens and individuals with underlying medical conditions are especially vulnerable. The Washington Association of Drug Court Professionals cannot prevent you from becoming exposed to, contracting, or spreading COVID-19 while attending this conference. It is not possible to prevent against the presence of the disease. Therefore, if you choose to attend this conference, you may be exposing yourself to and/or increasing your risk of contracting or spreading COVID-19. We recommend that attendees follow CDC guidelines to minimize any risk of exposure. By attending this conference, you voluntarily assume all risks associated with exposure to COVID-19 and forever release and hold harmless the Washington Association of Drug Court Professionals and each of their officers, directors, agents, employees, or other representatives from any liability or claims including for personal injuries, death, disease, or property losses, or any other loss, including but not limited to claims of negligence and give up any claims you may have to seek damages, whether known of unknown, foreseen or unforeseen in connection with exposure, infection, and/or the spread of COVID-19 related to the participation in this conference.Agree to the Terms and Conditions including potential exposure to COVID-19 *Yes, I agree to the terms and conditionsSubmit