2025 WSPMA Annual Conference Registration Form

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Registration

Who are you registering?

Contact Details

Name(Required)

Prefix First Middle Last

Name Badge(Required)

Please enter your first name as you would like it to appear on your name badge

In what city do you practice?(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Select work or home option below

Is email Home or Work(Required)

Home

Work

I am currently registering as a(Required)

When selecting "Other", please enter Job Title

DPM

Resident

Fellow

Guest

Assistant

Speaker

WSPMA BOT

Other

Registration(Required)

*Designates early bird pricing which ends on 8/8/25

WSPMA member - $350*

WSPMA member - After 8/8/2025 $400

WSPMA member - First Year Practicing $250

WSPMA Lifetime Member $100

WSPMA Members Assistant $100

WSPMA Board of Trustee: FREE

Resident/Fellow in WA - FREE

Non-member - $450*

Non-member - After 8/8/2025 $500

Non-members Assistant $150

Other: When paying, please enter code that you have received from WSPMA

Conference Attendee Roster

Please allow us to include you on the conference attendee roster (containing conference attendee names, titles, organizations, and email addresses), which will be available to conference attendees, as well as conference sponsors.

By sharing your information in the roster, you will be able to:

Connect with other conference attendees
Easily share your contact information with new colleagues
Receive relevant product and service information from conference sponsors supporting this event*

*Sponsors have limited access to the attendee roster and may only use it to send two emails. If attendees are contacted by sponsors after the event, they always have the option to opt out of any promotional materials.

Roster Inclusion

Please include my contact information on the conference attendee roster

Do NOT include my contact information on the conference attendee roster

Hotel Registration

WSPMA has reserved a room block with a $131/night room rate plus taxes at the Coast Wenatchee Center Hotel for the duration of the Conference. The hotel is connected to the Wenatchee Convention Center by a covered skybridge and offers FREE parking to all hotel guests. A complimentary continental breakfast is also available for hotel guests.

Please check whether you will/or will not be booking a room(s) on this registration page. Then to book a room for the conference click this Coast Wenatchee Hotel Booking Link and follow the instructions to book your room directly with the Coast Wenatchee Center Hotel. This link is also located on the main 2025 WSPMA Annual Conference Page.

• All room rates are quoted exclusive of applicable state, local and occupancy taxes.
• You can cancellation your reservation 48hrs in advance. After that you are responsible for any charges/fees.
• If you are a no show, you are responsible for your room reservation cost, not WSPMA.
• Reservations are due by August 25, 2025.
• All guests are responsible for all hotel charges, fees, room service.

Will you be booking a hotel reservation at the Coast Wenatchee Center Hotel:*(Required)

Yes, I will be booking a hotel reservation under WSPMA room block

No, I do not need a hotel reservation

I do not know

Book a room for the conference Coast Wenatchee Hotel Booking Link and follow the instructions to book your room directly with the Coast Wenatchee Center Hotel.

Social Hour Registration

There will be a Social Hour Reception on Friday, September 12, 2025: Social Hour from 5:30 – 6:30pm. Conference attendees are FREE. Guests are $25/ticket.

Will you be attending the Friday, September 12, 2025: Social Hour from 5:30 – 6:30pm.*(Required)

Yes, I will attend

No, I will not attend

I am not sure

Would you like to bring a guest with you to the Friday, September 12, 2025: Social Hour from 5:30 – 6:30pm. Guest tickets are $25/ticket*(Required)

Yes, I would like to buy a guest ticket

No, thank you

I am not sure

Dietary Restrictions and Additional Services

Please let us know if you have any dietary restrictions, mobility limitations, or other special accommodation needs. WSPMA will do its best to accommodate dietary restrictions, but we cannot guarantee that all special diets can be accommodated.

Special Requests(Required)

If choosing other (please list food allergies and/or other ADA request below).

I require vegetarian meals

I require vegan meals

I require gluten-free meals

I will be using a wheelchair

I have no requests

Other

Cancellation Policy

Consent(Required)

A $75.00 processing fee will be charged to any cancellation. Cancellations must be made in writing to info@wspma.org by August 12, 2025. No refunds for cancellations will be honored after this date. Substitute attendees will be permitted. No refunds can be made by WSPMA for lodging, airfare, or any other expenses related to attending the conference. Refunds are not granted to no-shows.

I agree to the cancellation policy

Donate to WSPMA

Please consider making a donation to the Erickson Scholarship Fund and/or WSPMA PODPAC.

Established in 1993 in memory of a long-time member and former WSPMA President E.P. Erickson, DPM. The Erickson Scholarship Fund provides scholarships to students from the state of Washington. E.P. Erickson, DPM, became an APMA member in 1940 and passed away in 1991. Dr. Erickson was a long-time WSPMA member, served as president of WSPMA from 1964 – 1966, and was Treasurer for many years up until his death. He was also recognized as podiatric physician of the year in 1967.

Erickson Scholarship Donation

Other

PODPAC is the Washington State Podiatry Action Committee fund. It is your local Political Action Committee. PODPAC funds help our lobbyists in Olympia gain better access to legislators who can influence state legislation affecting healthcare and our businesses as healthcare providers. Your donations help keep podiatric medicine from getting lost or undermined in the legislative shuffle at the state level. Your livelihood is affected by politics, and donations help podiatric physicians maintain influence in the political arena in Olympia. We are a small organization and every donation counts.

WSPMA PODPAC Donation

Other

Payment Details

How Would You Like to Pay?(Required)

Credit Card

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Processing Fees

If you are suppose to have a zero balance but see that you have a processing fee, please select Zero Balance from the "How Would You Like to Pay" option above to make sure it cancels the processing fees.

Price: $0.00

Total

Coupon

If provided, please enter code that you have received from WSPMA.

Please make check out to WSPMA.
Include your Company Name and registration type on the check
Mail check to
WSPMA
PO Box 3407
Edmonds, WA 98020

Credit Card

Cardholder Name

Card Details

Upcoming Events

There are no upcoming events at this time.

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