Registration | Society of Clinical Psychology

Registration Pricing	Register by 12/22/2023	Register by 1/31/2024 (Pending availability)	Register at the conference (Pending availability)
Regular Pricing (Member)	$170	$200	$300
Regular Pricing (Non-member)	$270	$300	$400
Student Pricing (Member)	$50	$75	$100
Student Pricing (Non-member)	$85	$105	$120
Early Career < 10 years post grad (Member)	$75	$115	$130
Early Career < 10 years post grad (Non-member)	$120	$155	$200

Name

First

Last

Name as you prefer it listed on your badge (if different than above)

Pronouns

Degree

Associate degree, academic (for example: AA, AS)

Associate degree, occupational (for example: AAA, AAS)

Bachelor’s degree (for example: BA, BS)

Master’s degree (for example: MA, MBA, MEd, MEng, MS, MSW)

Specialist degree (for example: EdS)

Medical degree (MD, DDS, DVM)

Doctoral degree (for example: EdD, PhD, PsyD, PharmD)

Are you a student?

Yes

No

What institution:

Institution

Email Address

Phone Number

Home Address

Do you need APA CEs?

Yes

No

What state:

Do you have any access requirements we should be aware of?

Yes

No

Please describe:

Do you have any dietary restrictions or food allergies?

Yes

No

Please describe:

Are you interested in learning more about the academy add-on option as an early career mentee, mid-career mentee, or a mentor?

Yes

No

Are you planning on booking accommodation at the Emory Conference Center?

Yes

No

Are you interested in attending the Friday night social event?

Yes

No

Are you interested in attending the Thursday CE opportunity?

Yes

No

How would you describe your disability/ability status? We are interested in understanding your experience with conditions that substantially limit one or more major life activities, regardless of whether you seek formal accommodations or have a formal diagnosis (mark ALL that apply).

Registration options

Regular Pricing (Member)

Regular Pricing (Non-member)

Student Pricing (Member)

Student Pricing (Non-member)

Early Career < 10 Years Post grad (Member)

Early Career < 10 Years Post grad (Non-member)

Institute Pricing (For Feb 1 events)

We want to know more about who is coming to our inaugural conference to inform future outreach efforts and ensure that our conferences are diverse and inclusive. Please take 1-2 minutes and complete the following demographic information.

Do you identify as transgender?

Yes

No

I prefer not to answer

When you consider your personal and familial cultural values, traditions, and practices, what labels best describe your ethnicity? (mark ALL that apply)

Arab, Middle Eastern, or North African—For example, Algerian, Egyptian, Iraqi, Jordanian, Sudanese, Syrian, Yemeni Please specify: Arab, Middle Eastern, or North African—For example, Algerian, Egyptian, Iraqi, Jordanian, Sudanese, Syrian, Yemeni Please specify:

Asian or Asian American—For example, Asian Indian, Chinese, Filipino, Japanese, Korean, Nepalese, Vietnamese Please specify: Asian or Asian American—For example, Asian Indian, Chinese, Filipino, Japanese, Korean, Nepalese, Vietnamese Please specify:

Black or African American—For example, Ethiopian, Haitian, Jamaican, Nigerian, Somalian Please specify: Black or African American—For example, Ethiopian, Haitian, Jamaican, Nigerian, Somalian Please specify:

Hispanic or Latino—For example, Colombian, Cuban, Dominican, Mexican or Mexican American, Puerto Rican, Salvadoran Please specify: Hispanic or Latino—For example, Colombian, Cuban, Dominican, Mexican or Mexican American, Puerto Rican, Salvadoran Please specify:

Native American or Alaska Native—For example, Arapaho, Blackfeet Tribe, Mayan, Native Village of Barrow Inupiat Traditional Government, Navajo Nation, Nome Eskimo Community Please specify: Native American or Alaska Native—For example, Arapaho, Blackfeet Tribe, Mayan, Native Village of Barrow Inupiat Traditional Government, Navajo Nation, Nome Eskimo Community Please specify:

Native Hawaiian or Other Pacific Islander—For example, Chamorro, Fijian, Marshallese, Native Hawaiian, Samoan, Tongan Please specify: Native Hawaiian or Other Pacific Islander—For example, Chamorro, Fijian, Marshallese, Native Hawaiian, Samoan, Tongan Please specify:

White or European American—For example, English, French, German, Irish, Italian, Polish Please specify: White or European American—For example, English, French, German, Irish, Italian, Polish Please specify:

Some other race, ethnicity, or origin Please specify: Some other race, ethnicity, or origin Please specify:

I prefer not to answer

Age (included in bucketed bins)

Discount Code

Total Discount (Full Discount)

$

Total Discount (Full Discount)

$

Total Discount (25% Discount)

$

Total Discount (25% Discount)

$

Total Discount (25% Discount)

$

Grand Total

$

Credit Card Details

Note : We do not accept AMEX cards.

Credit Card Details