Family Name for us to look up your Registration
First Name:
Last Name
Address
Phone
Email Address:
Would you like to be included in the Conference Directory? yes
no
What information would you like included in the Conference Directory? Please keep it short!
Number of Adults
Number of Children

Conference Badge Information

Full Name 1
Full Name 2
Full Name 3
Full Name 4
Full Name 5
Full Name 6
Full Name 7
Full Name 8
Full Name 9
Full Name 10
I understand that I am responsible for my safety and behavior and that of my children at the conference. I agree
I disagree
I would like to volunteer for the conference. Please contact me. yes
no

Put a website form like this on your site.
Registration Fees Super Early Bird!
By January 31, 2012
Early Bird By
April 30
Pre-Reg By
August 15
At the Door
Adults $45.00 $55.00 $60.00 $65.00
Children 3 years & older $35.00 $40.00 $45.00 $50.00
Young Adults 18-22 $35.00 $40.00 $45.00 $50.00
Children under age 3 FREE! FREE! FREE! FREE!
Grandparents FREE! FREE! FREE! FREE!
Family $150.00 $175.00 $200.00 N/A
There are two parts to registering for the conference. Fill out the form below, and go to one of the below payment options. You may do this in either order, but your registration is not complete until both steps are complete.
Registration includes admission to presentations and activities, a tote bag with information and goodies, name badges, and schedule book including a conference directory of other attendees, and a discount on meals at the hotel restaurant.  It does not include meals or hotel accomodations.
Unfortunately, we cannot offer refunds.

I would like to pay by credit card.
I would like to pay with a check by mail.
Registration Form