CAPS East Conference

Complete the registration information below. When you hit submit you will be given a link to the payment page.

Full Name: *

Abdul Kuddus

e-mail: *

we_rock@acebd.com

Address: *

Contact Number : *

7572220000 (no dashes or periods)

Your degree:

(Ph.D., M.S., M.Div., B.A., etc.)

Affiliate organization:

Your clinic, University, hospital...

Your professional field

psychology, counseling, social work, pastoral care...

CAPS member? *

Accommodations plans: *

Roommate preference

(if you have the names of people you would like to stay with or write in "please assign me someone")

Your gender (for roommate assignments)

Is this your first CAPS conference?

We distribute a directory of those that attended the conference in order to build CAPS East community. If you prefer not to have your contact information shared with conference attendees, let us know. Please do not share my information

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CAPS East Conference

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