16th Annual Help & Hope Conference

Friday, March 13, 2026

Gateway Technical College - Racine Campus
Please Select Registration Type*
Number of Regular Attendees*
Number of Group Attendees*
Number of Student Attendees*
Include Vendor Registration Fee? ($200 Includes vendor table + 1 conference participant registration)*

YesNo
Vendor Business/Agency Name:*
Vendor Table Participant Information

First NameLast Name
Vendor Table Participant Email
example@example.com
Please indicate special dietary request:*

Dairy-FreeGluten-FreeVeganVegetarianNone
Would you like to register additional attendees at this time? ($99 each)*

YesNo
Number of Vendor Additional Attendees ($99 each)
Student Information*

First NameLast Name
Student E-mail*
example@example.com
Phone Number*
Format: (000) 000-0000.
Add .6 CEU's ($25 fee applies)*

YesNo
Please indicate special dietary request:

Dairy-FreeGluten-FreeVeganVegetarianNone

Attendee #1 Name*

First NameLast Name
Attendee #1 E-mail*
example@example.com
Attendee #1 Phone Number*
Format: (000) 000-0000.
Add .6 CEU's ($25 fee applies)*

YesNo
Please indicate special dietary request:

Dairy-FreeGluten-FreeVeganVegetarianNone

Attendee #2 Name *

First NameLast Name
Attendee #2 E-mail*
example@example.com
Add .6 CEU's ($25 fee applies)*

YesNo
Please indicate special dietary request:

Dairy-FreeGluten-FreeVeganVegetarianNone

Attendee #3 Name*

First NameLast Name
Attendee #3 E-mail*
example@example.com
Add .6 CEU's ($25 fee applies)*

YesNo
Please indicate special dietary request:

Dairy-FreeGluten-FreeVeganVegetarianNone

Attendee #4 Name *

First NameLast Name
Attendee #4 E-mail*
example@example.com
Add .6 CEU's ($25 fee applies)*

YesNo
Please indicate special dietary request :

Dairy-FreeGluten-FreeVeganVegetarianNone

Attendee #5 Name *

First NameLast Name
Attendee #5 E-mail*
example@example.com
Add .6 CEU's ($25 fee applies)*

YesNo
Please indicate special dietary request:

Dairy-FreeGluten-FreeVeganVegetarianNone

Attendee #6 Name *

First NameLast Name
Attendee #6 E-mail*
example@example.com
Add .6 CEU's ($25 fee applies)*

YesNo
Please indicate special dietary request:

Dairy-FreeGluten-FreeVeganVegetarianNone

Please Select Payment Option*
Payment Receipt & Confirmation Email*
example@example.com
Student Rate- Online Payment Total Amount Due:
Includes 3.5% online payment surcharge fee
Student Rate- Cash/Check Total Amount Due:
Group Rate- Cash/Check Total Amount Due:
Group Rate- Online Payment Total Amount Due:
Includes 3.5% fee
Total Amount Due- Cash/Check:
Total Amount Due- Online Payment:
Includes 3.5% online payment surcharge fee
Total Vendor Amount Due- Online Payment:
Includes 3.5% online payment surcharge fee
Total Vendor Amount Due- Cash/Check:
Please make checks payable to: Hope Council, Inc.

Mailing Address:

Hope Council
6103-39th Ave.
Kenosha, WI 53142

**Check/Cash payments MUST be recevied within 10 business days. Please contact our office at (262) 658-8166 if you have questions or would like to make alternate payment arrangements.**

Friday, March 13, 2026