51st Correctional Education Region 1 Annual Conference

2012 Registration Form

Correctional Education: "Ride the Wave to Best Practices"

NAME:Position:

(Print as you want your nametag listed) (e.g., Teacher, Counselor, Administrator)

Organization:Phone: () -

Mailing Address:

City:State:Zip:

E-mail:Fax #

CEA Member: Yes No Member #

Early CEA Member Registration (prior to April 15, 2012): $135.00

CEA Member Registration (after April 15, 2012): $155.00

Non-CEA members - (prior to April 15, 2012): $160.00

Non-CEA members – (after April 15, 2012): $180.00

$70.00 per day for CEA members for Wednesday or Thursday

$80.00 per day for Non-CEA members for Wednesday or Thursday

PAYMENT

Registration includes access to all conference sessions and meals $

Extra Meals for attendee’s guests (See next page for cost)

• Wednesday Continental Breakfast $ Wednesday Lunch$

FreeWednesday reception 8 – 11 PM with light buffet, entertainment, and cash bar (# attending)

• Thursday Continental Breakfast $ Thursday Buffet Breakfast $ Thursday Lunch $

Free Thursday reception 8 – 11 PM with light buffet, entertainment, and cash bar (# attending)

• Friday Continental Breakfast $ Friday Buffet Breakfast $

Early-Bird Activities on Tuesday May 29th

9:30 - 11:30 AMCurator-ledFieldTrip of the Cape May Zoo$5.00 per person

7:30 - 8:30 PM“Welcome to Cape May”Guided Trolley Tour $10.00 per person

Wednesday May 30th5:00 - 7:30 PM Kayak Tour in the Cape May Harbor and Tidal Marsh

$32.00 for one-person kayak $56.00 for two-person kayak

Thursday May 31st 6:30 - 8:30 PM SunsetDolphin Cruise $20.00 per person

(Price includes all-you-can-eat pizza and/orhotdogs plus non-alcoholic beverages.)

Total Amount Enclosed $

• Checks must accompany registration form,Payable to: NJCEA

• Registrations will not be processed without prior payment.

•Phone reservations not accepted.

•No on-site registrations

• NJCEA State Exempt ID# 030-438-982/000

• Refunds: Refund request must be in writing. No refunds after May 3, 2012

• No mail-in registration will be received after May 15, 2012.

Registrationincludes the following meals and snacks:

•Thursday and Fridayfull breakfast buffet for CEA Registered Grand Hotel of

Cape May guests only

•Wednesday buffet lunch and Thursday's awards luncheon for all attendees

•Wednesday, Thursday, and Friday Continental Breakfast

• Wednesday and ThursdayAfternoon Breaks for all attendees

• Wednesday and Thursday Night receptions with light buffet, entertainment, and cash

barfor all attendees and guests

•Extra meals may be purchased for non-registered guests at the

following prices:

Wednesday, Thursday, and/or Friday Continental Breakfast for $10.00 each

Wednesday lunch and/or Thursday lunch for $25.00each

Thursday breakfast and/or Friday buffet breakfast for $15.00 each

Hotel NOT Included –

All Hotel Reservations Must Be Made With the Grand Hotel by April 30, 2012

Early-Bird Hotel rates for Monday May 28th and Tuesday May 29th:

$80.+ tax per night for a single/double occupancy standard room

$120.+ tax per night for a single/double occupancy townhouse suite

Hotel rates for Wednesday May 30th and Thursday May 31st:

$100.+ tax per night for a single/double occupancy standard room

$150.+ tax per night for a single/double occupancy townhouse suite

You can register online or call (609) 884-5611 ext. 552, or

you can e-mail or fax (609) 884-4344.

The Correctional Education Association group id is #160177.

For additional conference information, please refer to or

Please call Kevin Kavanaugh at (609) 723-4221 ext. 8432 or e-mail at

Please return this registration form with check made out to:

NJCEA

44 Keswick Avenue

Ewing, NJ 08638