2023 APTA Wisconsin Spring Conference Registration

2023 APTA Wisconsin Spring Conference Registration - APTA Wisconsin - aptawi.org

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.

Registrant Information

First Name *

Last Name *

Nickname for Badge *

APTA ID

Credentials *

Address *

City *

State *

Zipcode *

Phone *

Email *

Designation *

PTA

Student

Other

APTA Wisconsin/APTA Member *

Yes

Please check here if you are an APTA Credentialed CI

Registration Options

Registration deadline is April 24, 2023. After that, an additional $20 late fee ($10 for students) will be applied to your registration, both in person and online.
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 April 24, 2023. No refunds will be given after April 24, 2023. 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	$100	$180	$255	$305	$60	$120	$888
APTA/APTA Wisconsin PTA Member	$90	$145	$205	$230	$50	$100	$888
PT/Other Non-Member	$155	$280	$405	$430	$100	$170	$888
PTA Non-Member	$120	$215	$305	$330	$80	$100	$888
Student	$55	$95	$125	$150	$30	$60	$888
APTA/APTA WI Resident	$85	$140	$200	$225	$45	$90	$888
Non-PT Clinic Staff	$50
Awards Dinner ONLY				$25
Late fee after April 24, 2023

Total				$

Course Selections

Thursday Courses	Friday Courses
8:00 am - Noon Elite Endurance Athletes Across the Lifespan/ Strength Training the Pediatric Athlete	8:00 am - Noon DPT Residency Showcase
8 am - Noon It`s Just Parkinson`s: Exercise and Intervention Techniques	8 am - 5 pm Clinical Decision Making for Low Back Pain: A Cased Based Course
8 am - Noon Interactive Hands-On Review for the Successful Management of Cervical Dysfunction	8 am - 5 pm How to Form Successful Treatment Teams to Effectively Treat Patients with Musculoskeletal Pain and Substance Use Disorder
8 am - Noon Part 1: Setting the Table for Advanced PT Clinical Reasoning in Pain Care	8 am - 5 pm Musculoskeletal US Guided Dry Needling - PPSIG Course -- Must Attend BOTH Days
8 am - 5 pm Musculoskeletal US Diagnostic Imaging -- PPSIG Course -- Must Attend BOTH Days	2 - 5 pm Introduction to Principles of Practice and Coaching Models in Early Intervention Programs
2 pm - 5 pm Part 2: Pain Care Case Studies - Attending Part 1, or a working knowledge of pain mechanisms reasoning, is strongly recommended in order to attend Part 2
2 - 5 pm Ask a Resident! Panel Discussion
2 - 5 pm Sport Psychology: The Recovery after the Recovery
2 - 5 pm Do Simple Patients Exist? The Survey Says... Probably Not!

Event Selection

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

Thursday	Friday
Noon - 2 pm Lunch/Business Meeting	Noon - 2 pm Awards Luncheon
5:30 - 6:30 pm Welcome Reception
6:30 - 8:30 pm Hot Topics/Professional Issues Forum

Please check here if you would like a gluten free selection
Please check here if you would like a vegetarian selection
First time attendees, please check here for a special offer. (Sorry, students are not eligible)

Payment Information

Promo Code

Discount	$
Total Amount	$

Pay by Credit Card

Name on Card *

Billing Postal Code *

Billing Street Address *

Enter:

Pay by Check

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 April 24, 2023. No refunds will be given after April 24, 2023.
All refunds will be issued after the completion of the conference

Send cancellation/refund requests to aptawi@aptawi.org:

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