SWOS Attendee Registration "*" indicates required fields Name* First Last Email* Phone Number*Please choose what CE you would like to attend. Full CE Event – 12hrs CE ($400) Tuesday – 8hs CE ($300) Wednesday – 4hrs CE ($150) Will you be attending the Child Abuse Act 31 course (meets PA requirement)?*To view full event schedule, click here. Yes, I would like to attend the Child Abuse Act 31 course. No, I will be attending the other course provided at this time. This field is hidden when viewing the formWould you like to participate in the Golf & Reception on Wednesday Sept 18th, 2024? Yes, I will be golfing and attending the reception. ($100) No, I will not be golfing or attending Wednesday reception. This field is hidden when viewing the formHow many golf/reception tickets would you like to purchase ($100ea)?*1234Will you be bringing a guest?* No, I will not be bringing a guest. Yes, I will be bringing a guest. How many guests will you be bringing?* 1 Guest 2 Guests 3 Guests 4 Guests Guest InformationGuest #1 Name*Which meals would you like to include for your guest? | Guest 1If you do not want “all meals” please select all guest meals you would like to pay for. All Meals (Tuesday Breakfast, Lunch, & Wednesday Breakfast) Tuesday Breakfast Tuesday Lunch Wednesday Breakfast I do not want to include any meals for my guest. Guest #2 Name*Which meals would you like to include for your guest? | Guest 2If you do not want “all meals” please select all guest meals you would like to pay for. All Meals (Thur Breakfast, Lunch, Dinner, & Friday Breakfast) Thursday Breakfast Thursday Lunch Free Thursday Dinner Reception Friday Breakfast I do not want to include any meals for my guest. Guest #3 Name*Which meals would you like to include for your guest? | Guest 3If you do not want “all meals” please select all guest meals you would like to pay for. All Meals (Tuesday Breakfast, Lunch, & Wednesday Breakfast) Tuesday Breakfast Tuesday Lunch Wednesday Breakfast I do not want to include any meals for my guest. Guest #4 Name*Which meals would you like to include for your guest? | Guest 4If you do not want “all meals” please select all guest meals you would like to pay for. All Meals (Tuesday Breakfast, Lunch, & Wednesday Breakfast) Tuesday Breakfast Tuesday Lunch Wednesday Breakfast I do not want to include any meals for my guest. OE Tracker Number*Additional License NumbersAddress* Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Registration TotalTotal Credit Card* For security please enter 837 below before submitting this form.