ASGW 2018 Conference Registration Form

To register and pay by credit card, click here.

To pay by check or money order, complete the form below and mail payment (payable to Association for Specialists in Group Work) to the following address:

Jonathan J. Orr, Ph.D.
Department of Counseling and Psychological Services
Georgia State University
30 Pryor St.
Suite 950
Atlanta, GA 30303

Full payment by check must be post marked to be eligible for the different rates indicated. Checks must be included with a completed registration form. The registration form will ensure accurate names and affiliations are included on the name tag of the conference participant. If the check name does not match the registrants name, please indicate the registrant’s name on the “Memo” section of the check.

Name *
Address *
Registration Type *
I am a student currently enrolled in a graduate program in education or the mental health field. I do not work as a professional in this field (please enter your email to affirm this statement).