2022 DSP Conference Registration

Massachusetts Direct Support Professionals Conference Tuesday October 29th & Wednesday October 30th 2024

at the Seacrest Hotel, 350 Quaker Road in North Falmouth, MA beginning at 9:00 am. Please register participants for the conference by filling the form below. The next page will allow you to pay for conference participants ($250.00 per attendee) though either PayPal or with a valid credit/debit card.
Name of Agency Contact*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Agency/Affiliation Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please register each staff attending individually below. If you have more than five (5) staff attending, please complete a second registration form with each additional participant's information.
Participant 1 - Full Name of Participant Attending Conference

First NameLast Name
Participant 1 - Title of Person Attending Conference
Participant 1 - Email
example@example.com
Participant 1 - Supervisor's Name
Participant 1 - Supervisor's Email
example@example.com
Participant 2 - Full Name of Participant Attending Conference

First NameLast Name
Participant 2 - Title of Person Attending Conference
Participant 2 - Email
example@example.com
Participant 2 - Supervisor's Name
Participant 2 - Supervisor's Email
example@example.com
Participant 3 - Full Name of Participant Attending Conference

First NameLast Name
Participant 3 - Title of Person Attending Conference
Participant 3 - Email
example@example.com
Participant 3 - Supervisor's Name
Participant 3 - Supervisor's Email
example@example.com
Participant 4 - Full Name of Participant Attending Conference

First NameLast Name
Participant 4 - Title of Person Attending Conference
Participant 4 - Email
example@example.com
Participant 4 - Supervisor's Name
Participant 4 - Supervisor's Email
example@example.com
Participant 5 - Full Name of Participant Attending Conference

First NameLast Name
Participant 5 - Title of Person Attending Conference
Participant 5 - Email
example@example.com
Participant 5 - Supervisor's Name
Participant 5 - Supervisor's Email
example@example.com
Please request accommodations for the event below (i.e. ASL interpreter, accessible hotel room, etc.)
Please note: hotel reservations must be made separately by calling 1(800)225-3110 or by clicking the link on the flyer for the group rate. Hotel rooms can be booked at the group rate of $169 per night. Participants are highly encouraged to make reservations at the Seacrest Hotel for Tuesday evening. Breakfast (served prior to 9:00 am) and lunches are provided by the hotel both days. Participants will need to make dinner arrangements. Please note of there are any dietary allergies, or food restrictions that the kitchen should be aware of (i.e. vegan, nut allergy, seafood allergy, Kosher, etc.)
Have you been to our conference before?

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Select Number of Attending Participants

2024 DSP Conference Participant $250.00

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Total $0.00

Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.
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Massachusetts Direct Support Professionals Conference Tuesday October 29th & Wednesday October 30th 2024