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PLC 2021 Registration Form

PLC 2021 Registration Form

  *  =  Response Required
 
7. By registering for PLC, you are registered for both weekends (March 5-7 and March 14-15) of the conference, including the Monday March 15, 2021 PLC Advocacy Hill Day.*
  *This question is required.*(As CA Psychological Association’s State Lobby Day is on the same day, CPA’s advocacy training and visits are scheduled for April 25-26)  
 
9. Work Address: *This question is required.
10. Home Address: *This question is required.
This question requires a valid number format.
12. Would you like to claim CE Credits? *This question is required.
Select sessions at this conference have been reviewed and approved by the American Psychological Association's (APA) Office Continuing Education in Psychology (CEP) to offer Continuing Education (CE) credit for psychologists. Full attendance is required at the approved sessions for which you are claiming CE credit. Partial credit is not awarded. The CEP Office maintains responsibility for the content of the CE program.” 
 
13. Check the box next to each program you wish to sign up for CE credits *This question is required.
13. We strive to host inclusive, accessible events that enable all individuals, including individuals with
disabilities, to engage fully. Please let us know if you need any accommodations in order to participate:
 
14.  By clicking this button, you are submitting your information to PLC organizers and sponsors, who will use it to communicate with you regarding this event and their other services. *This question is required.