/ FL DCDT's VISIONS XXIV
A Transition Planning Institute and Conference

2017 Conference/Institute Registration Form

Name
Title / Organization
Address / City / State / Zip
Phone / Fax / Email Address
Do you require special accommodations? / Yes / No / If yes, specify:
Will you be participating as a member of a team? / Yes / No / If yes, which district team?
Member CEC: / Yes / No / CEC Member # / Member DCDT / Yes / No

(Note: Free DCDT membership awarded to first 10 registrations who are members of CEC but not of DCDT)

Check Registration Option / Member (DCDT) / Non-Member (DCDT)
Early Bird (received by 4/7/17) / $155 / $205
Full Conference (after 4/7/17) / $205 / $245
Student (full time) / $60 / $60
One Day (Thursday, May 4, 3017) / $100 / $135
Registration fee includes President’s Reception (appetizers + cash bar) and Awards Luncheon
Vegetarian Meal
Payment Method
X / Type / Required Details
Check (payable to FL DCDT) / Check #
Purchase Orders - must be submitted with registration form.
Payable to FLDCDT(Florida Division on Career Development and Transition)
Federal ID #47-1680791 / Purchase Order #
Entity issuing Purchase Order
Credit Card - I authorize FLDCDT to Charge $_____ to my credit card. / Credit Card Type: / Master Card / Visa
(We do not accept American Express or Discover)
Card #
Exp. Date
Cardholder’s Name
Billing Address, (including City, State, Zip)
Signature

Please note that there will be a $35.00 processing fee assessed for canceled registrations

Return Completed Registration Forms to:

Patrick Mulvihill, Registration Co-Chair

Florida Division on Career Development and Transition

25 Sederholm Path, Palm Coast, Florida 32164 Fax# 1-386-263-9242 Email:

Hotel Accommodations need to be made directly with the
Sirata Beach Resort and Conference Center
5300 Gulf Blvd.
St. Pete Beach, FL 33766
(800)-344-5999
A block of rooms has been set aside for this conference at the rate of $134.00 plus tax (single/double occupancy), includes free self-parking, internet in guest rooms and public spaces (conference rate will apply to reservations for up to two days prior and up to two days after conference-based on availability). When making reservations, please indicate that you are part of the VISIONS XXIV, Florida DCDT Conference. Reservations at the reduced rate must be made by April 2, 2017. /

Tentative Conference/Institute Schedule

Wednesday, May 3, 2017

Conference/Institute Registration: 8:00 AM – 5:00 PM

Florida Department of Education (FDOE) Bureau of Exceptional Education and Student Services (BEESS)
Transition Contacts Meeting 9:00 AM – 12:00 PM

Vendor Displays: 12:00 PM – 5:00 PM

Welcome/Keynote: 1:00 PM – 2:30 PM

Concurrent Sessions: 2:45 PM – 5:00 PM

President’s Reception and Silent Auction Bidding Begins: 5:30 PM – 7:00 PM

Thursday, May 4, 2017

Conference Registration: 7:00 AM – 5:00 PM

Continental Breakfast: 7:30 AM – 8:30 AM

Vendor Displays: 8:00 AM – 5:00 PM

Concurrent Sessions: 8:30 AM – 11:45 AM

Florida DCDT Awards Luncheon: 12:15 PM – 2:15 PM

Concurrent Sessions: 2:20 PM – 3:30 PM

Concurrent Sessions: 3:45 PM – 4:45 PM

Florida DCDT Annual Membership Meeting, Networking and Silent Auction: 5:00 PM – 7:00 PM

(Silent Auction Bidding ends at 6:45 PM) - Dinner On Your Own

Friday, May 5, 2017

Conference Registration: 7:00 AM – 9:00 AM

Continental Breakfast: 7:30 AM – 8:30 AM

Vendor Displays: 8:00 AM – 11:00 AM

Conference Activity (TBA) 8:30-10:00

Conference Attendee’s Hotel Check-out: 10:00 AM – 10:30 AM

Closing Session with FLDOE/BEESS Bureau Chief: 10:30 AM – 11:45 AM

Final DCDT Remarks/Announcements: 11:45 AM – 12:00 Noon

Registration questions can be directed to:

Patrick Mulvihill, Chair

(352) 262-2502

Conference/Institute questions can be directed to:

L. “Danie” Robert-Dahm, President, Florida Division on Career Development and Transition

(727) 873-4654