2026 Annual Conference Registration X/TwitterThis field is for validation purposes and should be left unchanged.Are you... ?(Required) Registering for Myself Registering for Someone Else If you're completing this form for someone else or others including yourself, please let us know here.Your Name(Required)Please enter your name as the person completing registration details for someone else. First Last Your Email(Required)Please enter your email as the person completing registration details for others. Your Phone(Required)Please enter your phone as the person completing registration details for others.2026 Conference Attendee InformationPlease provide the following contact details for the person attending the conference.If you're completing this form for multiple people you will need to complete a separate form for each attendee.Attendee Organization NameAttendee Name(Required)This is the name of the person attending the conference. First Last Role / Profession(Required) Attorney GAL Judicial Officer Mediator Psychologist Parenting Coordinator Other Mental Health Professional Other Attendee Phone(Required)Attendee Email(Required) Attendee Ticket Purchase(Required)Please specify the registration type for this attendee. Note: If you are using a coupon code, you MUST select the "Non-Member" option first. Indiana AFCC Member ($150) Non-Member ($200) Student / Judge / Non-Profit ($75) Payment and Confirmation DetailsRegistration Total Price REFUNDS: You can cancel and receive a full refund no less than 15 days before the event or by October 8, 2026. Thereafter, no refund will be provided, but you can transfer your registration to another individual.Credit CardCard Details Cardholder Name Any Questions or Comments?Are You Really Human?(Required)What's the answer to 4 + 2 plus one?CAPTCHA
