LCCA Annual Conference - Featuring Next Gen Men and Carly Quick. Deadline to register is February 27, 2026. 
  1. Payment before Conference is MANDATORY.
  2. If you are completing this form and paying by PAYPAL, the QR code is at the bottom of this form. 
  3. If you would like to pay by check please send the payment to the address: 

    Kelly McCracken - LCCA Treasurer

    Antioch Community High School 

    1133 Main Street Antioch, IL 60002

Email *
Last Name *
First Name *
Title *
School/Organization *
Phone Number *
IEIN *
Are you currently a member of Lake County Counselors Association? *
Are you retiring this year? *
We will be providing a pasta bar with salad and breadsticks for lunch. If you have any dietary restrictions, please select below. *
Please indicate which communication and/or social media outlets you use the most. *
Required
PayPal Option for Payment - https://bit.ly/2NZaBeo $40 for Members. $60 for Non-Members. ** Registration is NON-REFUNDABLE**.  Thank you.
Payment type *
A copy of your responses will be emailed to the address you provided.
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