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Conference Overview| Speakers and Programs| Conference Registration | Directions
ADRNC 2009 Annual Conference Registration Form (for mailing) Name: Organization: Mailing Address: City, State, Zip: Phone: Email: ADRNC Member? __ Yes __ No Enclosed conference fees: __ $125 ADRNC Member – Early-bird* __ $150 ADRNC Member – Late* __ $175 Non-Member – Early-bird* __ $200 Non-Member – Late* __ $65 Full-time student (includes one-year ADRNC membership) – Early-bird* __ $75 Full-time student (includes one-year ADRNC membership) – Late* __ $40 BBS Credit which applies to MFT & LCSW*** – 5.5 hours Limited scholarships available. Contact Stacy Waters, Administrator, at adr@adrnc.net, or at 650.745.3842 for further information. *Registration Deadline
Membership Dues Membership Special! Get four months added on to the normal membership year for joining with your Annual Conference registration. The following dues apply for membership from now through June 30, 2009: __ $70 Regular Member __ $35 Student/Volunteer/Hardship __ $195 Organization Total amount enclosed $ Sponsorship If you would like to be a Sponsor please contact us. Sponsor rates from $100 - $1000+ ADRNC is a 501(c)(3) organization; your sponsorship may be tax deductible. Afternoon Sessions Session Group One 1:45-3:15 (Select one) ___ Session 1A: The Art of Facilitation: Transferable Skills for Mediators ___ ___ Session 1C: Conflict Resolution Skills for the Intergenerational Workplace Session Group Two 3:30-5:00 (Select one): ___ Session 2A: Maalox Moments in Meetings: Balancing the Needs of Individuals and Groups ___ Session 2B: Emotions: Obstacles or Gateway to a Lasting Resolution? ___ Session 2C: Peer Mediation: Coaching the Next Generation of ADR Professionals
Do you plan to attend the “Meet the Speakers” Reception from 5:00 – 5:30 p.m.? Yes __ No __ Do you require a vegetarian meal? Yes __ No __ Building Accessibility/Special Needs
All buildings and restrooms are wheelchair accessible. Please advise of any other special needs below. Continuing Education Credit *ADRNC is a State Bar of Refund Policy Refunds are provided at the discretion of ADRNC. Registration by Mail: ADRNC Attn: Annual Conference Pre-registration is recommended, as space is limited. On-site registration is only on a space-available basis, and is not recommended. All attendees should check the ADRNC website at www.adrnc.net the day prior to the event for updated information. For additional information contact: Stacy Waters, Administrator
Conference Overview| Speakers and Programs| Conference Registration | Directions
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