GCFV 2017 Annual Family Violence Conference Registration
GCFV has rescheduled the 23rd Annual Family Violence Conference to November 5-7, 2017. It will be held at the Classic Center in Athens, Georgia.

The registration fee is $245. Payments will only be received in the form of a check or money order until October 23, 2017. Please indicate the participant's name on the payment. Registration will not be considered complete until payment is received. If payment is not received by October 23, 2017, your registration will be considered incomplete and therefore canceled. On-site registration will be $310, and is based upon availability.

Email address *
First Name *
Your answer
Last Name *
Your answer
Please Write Your First and Last Name How You Would Like It To Appear On Conference Name Badge *
Your answer
Confirm Email of Registrant *
Your answer
Can we add you to our emailing list?
Phone Number of Registrant (please provide a direct number or a cell number) *
Your answer
Organization (Please do not use acronyms) *
Your answer
Discipline *
What Continuing Education Hours are you seeking? GCFV is currently applying for these hours, and they have not been approved at this time. Each attendee will receive a Certificate of Attendance.
Do you require any special accommodations?
Your answer
Dietary restrictions *
Have you been awarded a registration scholarship? *
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