Registration (May 12th, 2026)(WPTRCN) 2026 Conference - Presented by: West Piedmont Trauma & Resiliency Community Network (WPTRCN)

Conference - Registration

Date: May 12, 2026 (Tuesday) 9:00 am - 4:00pm

Conference Location: TBD

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* 1. Last Name

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* 2. First Name

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* 3. Email Address

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* 4. Phone Number

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* 5. City you live in and zip code

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* 6. How did you hear about this event?

Friend/Co-Worker

Social Media

Flier

Email

Other (please specify)

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* 7. What organization are you with? If not with an organization, please reply "N/A"

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* 8. Is your organization interested in sponsoring the event?

Yes

No

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* 9. If not you, who is the contact for your organization?

Name

Email Address

Phone Number

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* 10. Check box if interested in receiving more information about or joining West Piedmont Trauma & Resiliency Community Network (WPTRCN)

Yes

No

If you have any questions, please contact Tobias Lutz - tlutz@dpcs.org

We look forward to seeing you! Follow us on social media
https://www.instagram.com/westptrcn/
https://www.facebook.com/people/West-Piedmont-Trauma-Resiliency-Community-Network/61560409987053/
Or visit our website at http://www.westpiedmont.org/