APTA Wisconsin will follow the CDC recommended guidelines for COVID-19 and any rules and regulations in place by the State of Wisconsin, local health department, and conference facility.

Masks will be required in order to attend all fall conference courses and events.

Registrant Information

 
 
 
 
 
 
 
 
 

Registration Options

  • Registration deadline is October 11, 2021. After that, you can register on-site for an additional $20 fee ($10 for students).
  • Conference registration includes continental breakfasts, morning and afternoon breaks, awards luncheon, welcome reception, business meeting lunch, and conference materials.
  • Confirmation will be sent upon receipt of registration.
  • Refunds less a 25% administrative fee will be given if requests are received prior to October 11, 2021. No refunds will be given after October 11, 2021. All refunds will be issued after the completion of the conference.
  • Attendees will receive contact hours for courses attended in their entirety. These contact hours qualify as continuing education as defined by the Wisconsin's Department of Safety and Professional Services. See course descriptions for specific contact hours.
 
  ½  Day 1  Day 1½  Days 2  Days 2½ Days
APTA/APTA Wisconsin PT Member
 
 
 
 
APTA/APTA Wisconsin PTA Member
 
 
 
 
PT/Other Non-Member
 
 
 
 
PTA Non-Member
 
 
 
 
Student
 
 
 
 
APTA/APTA WI Resident
 
 
 
 
Non-PT Clinic Staff
 
 
 
 
Awards Dinner ONLY
 
 
  Late fee after October 11, 2021    
 
Total       $    

Course Selections

Thursday Courses Friday Courses

Event Selection

Please check all that you plan to attend.   Accurate head counts are needed to ensure everyone can be accomodated

Thursday Friday
 

Payment Information

 
Promo Code  
 
 
Total Amount
$
 
 
 
 
 
 

If paying by check or internationally accepted money order, please make it payable to APTA Wisconsin.  Mail it to the address below, including a copy of your registration confirmation that will be emailed to you after you submit this form.

APTA Wisconsin
P.O. Box 341
McFarland, WI 53558

 

Refund/Cancellation Policy

  • APTA Wisconsin reserves the right to cancel this event, in which case all monies paid will be reimbursed
  • Refunds less a 25% administrative fee will be given if requests are received prior to October 11, 2021. No refunds will be given after October 11, 2021. All refunds will be issued after the completion of the conference.
  • All refunds will be issued after the completion of the conference
 

Send cancellation/refund requests to:

APTA Wisconsin
P.O. Box 341
McFarland, WI 53558