2025 Annual Conference Workshops Registration Form

Washington Ambulatory Surgery Center Association
2025 Annual Education Conference & Trade Show
Tulalip Resort & Spa
10200 Quil Ceda Boulevard
Tulalip, WA 98271
November 5-7, 2025

Primary Contact Title*

Primary Contact Company*

Primary Contact Phone*

Primary Contact Email*

Member Pricing Code

Please enter the member pricing code we provided to enable member pricing.

For those registering for Wednesday's events, please indicate the workshops you plan to attend below:

Additional WASCA Member Registrations

Additional Member 1 Title

Additional Member 1 Company*

Additional Member 1 Phone

Additional Member 1 Email*

Additional Member 2 Title

Additional Member 2 Company*

Additional Member 2 Phone

Additional Member 2 Email

Additional Member 3 Title

Additional Member 3 Company*

Additional Member 3 Phone

Additional Member 3 Email*

Additional Member 4 Title

Additional Member 4 Company*

Additional Member 4 Phone

Additional Member 4 Email*

Additional WASCA Non-Member Registrations

Additional Non-Member 1 Title

Additional Non-Member 1 Company*

Additional Non-Member 1 Phone

Additional Non-Member 1 Email*

Additional Non-Member 2 Title

Additional Non-Member 2 Company*

Additional Non-Member 2 Phone

Additional Non-Member 2 Email*

Additional Non-Member 3 Title

Additional Non-Member 3 Company*

Additional Non-Member 3 Phone

Additional Non-Member 3 Email*

Additional Non-Member 4 Title

Additional Non-Member 4 Company*

Additional Non-Member 4 Phone

Additional Non-Member 4 Email*

TOTAL

*Please note: WASCA does not accept payment via check for annual conference registration.

Coupon

50% refund of registration fees available until Monday, September 8, 2025. No refunds will be issued as of Tuesday, September 9, 2025. Transfer of registration fees to another colleague or industry member is allowed.

INQUIRIES: Contact the WASCA Office at info@wasca.net

2025 Annual Conference Workshops Registration Form

2025 Annual Education Conference Workshops Registration

WASCA