TheCPGroup.org Conference Registration

The conference will focus on issues and concerns of adults with CP. Discussions are conducted in a round table format that gives each participant an opportunity to share in the discussion. Each discussion has a facilitator, and most discussions have an expert in the subject under discussion who serves as a resource person for participants.

You can pay the conference fee online via Pay Pal after you submit the registration, or you can mail a check.

Conference Location (required): East Coast West Coast
First and Last Name (required):

Street Address (required):
Street Address:
City (required):
State (required):
Zip Code (required):

Telephone # (required):

E-Mail (required):

Are you a vegetarian? (required): Yes No

Do you need personal care? (required): Yes No

Personal care needs:
Personal care attendants will be available for $10 an hour. If you need a personal care attendant, please explain how many hours, what time of day you need personal care and any other details.
Medical needs:
Other needs or concerns:

Would you like to lead a discussion? (required): Yes No

Topic you would like to discuss: