Conference Registration Type *

Executive Committee

GPWA Member ( Warden or Superintendent) or Associate Member

Central Office Staff (Executive Staff, Directors, Regional Directors, Etc.)

Is This Your First GPWA Conference

Yes

No

First Name *

Last Name *

Company *

Facility *

Title

Phone *

Email *

Are you bringing anyone with you?

Yes

No

Person(s) coming with you: Please provide the names of those coming with you excluding yourself.

Person #2
Person #3
Person #4
Person #5
Person #6

Are you bringing children to the conference? (Under 18)

Yes

No

How many children will attend the conference with you?

Days Attending

Saturday, June 14, 2024 ( Executive Committee Only)

Select Dates to Attend *

Sunday June 15

Monday June 16

Tuesday June 17

Wednesday June 18

Please select the correct number of plates for each meal to provide the hotel with accurate information. If you do not plan to attend one or multiple days, please select "0".

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the Georgia Prison Wardens Association.