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Families First - Preparing for the Future
Family Member* On-Line Registration Form
Early Bird Discount - Register by September 15, 2009
To register and pay fees by mail, DOWNLOAD FORM >>>
* For registration purposes, Family Member means the parents/caregivers/guardians of a child or youth with
disabilities or special health care needs.
All others will be considered Professional/Other.
Family Member Registration Fees
FRIDAY ONLY - $30
SATURDAY ONLY - $40
FRIDAY AND SATURDAY - $50
(Early Bird Registration - Fees increase after Sept. 15, 2009!)
Please register ONE ATTENDEE ONLY.
Re-visit this page to register multiple attendees!
© 2009 Nevada Families First - Preparing for the Future
Website by DebWeb
FAMILIES FIRST
Organization:
City, State, Zip:
Sign language interpreter required?
If yes, please indicate dates & times required.
Accessibility/ADA accommodations required?
If yes, please describe.
Dietary concerns/special needs?
If yes, please describe.
Hotel accommodations: We do not have a particular hotel reserved for this conference. Your are responsible for your own hotel reservations and payment.
Child care services will be available on Saturday only for $10 per child. Preference is given to families coming in from out of town and space is limited to 30 children. Please contact Dan Dinnell at ddinnell@dhhs.nv.gov to sign up. Need child care?
A certificate of attendance for attending both days only, will be made available.
Professional Credits Offered
Child Care Training Hours
(Pending Approval by the Nevada Registry)
Continuing Education Units
(Pending Approval by the Department of Education)
Social Workers - CEUs can be requested by following the procedures from the State of Nevada's Board of Examiners for Social Workers website. (Presenters Resume/Vitae/Bio can be provided upon request)
Professional Credits Applicable?
Registration/Conference Policies
By clicking the SUBMIT button below, I agree that I have reveiwed and agree to the following:
Early Bird Registration discount applies until July 31, 2009.
Space is limited so register early! “Early Bird” registration discounts apply to family members as well as professionals.
Registration is accepted on a first-come, first-served basis.
Your payment will be refunded in full if your registration is received after the conference has reached maximum capacity.
Cancellations must be made in writing and received at least 3 days prior to the conference. A 25% administrative fee will be assessed for cancellations and refunds will be mailed 4-6 weeks after the conference.
Furthermore:
I understand I am responsible for reserving and paying for my own travel/hotel accommodations unless otherwise arranged in advance with conference coordinators.
I understand that child care will be provided on Saturday only for an additional fee, and that I must request child care services in advance as outlined above.
I understand that during the conference, pictures may be taken of family members, presenters and/or other attendees that will be used for “Families First” conference and promotional materials only.
Meals and refreshments not promoted as available during the conference timeframe are my responsibility.
STOP!
If you are paying registration fees by mail, you MUST use this downloadable form to register. Download now >>>
If you are paying registration fees on-line, you MUST choose one of the following options before proceeding to the payment screen:
Name:
Address:
Phone:
E-Mail:
By clicking the SUBMIT button below, I agree that I have reveiwed and agree to the Registration/Conference Policies.
Imagine the
Possibilities
Families First - Imagine The Possibilities is a collaborative effort of these organizations
Sponsorship Opportunities!
Contact Sponsorship Team Leader Cindy Johnson
for more information
about how you can
