The CTRA/BCTRA Conference 2017 Registration Form

Capri Hotel, Kelowna, BC

Please print clearly and complete a single form for each individual

First Name: Last Name: ______

Address: ______City: ______Province/State: _

Postal Code/Zip Code: ____ Telephone Number: ______

Email Address: ______

If any dietary concerns, please specify i.e. vegetarian, allergies: ______

CTRA Member: Yes No Number: ______BCTRA Member: Yes No ______

Conference Volunteering: I would be willing to volunteer during the conference, in the areas required. _____ CEU monitor_____ Introduce Presenters

How to Register and Pay: Registration form can be emailed to:

Registration fee can be paid through PayPal at https://canadian-tr.org/professional-development/ctra-conference/

Mail in registration form and a cheque payable to CTRA Conference, P. O. Box 448, Russell ON, K4R1E3.

Registration Fees MUST accompany this form or registration cannot be processed.


Registration Categories and Rates: Pre-conference

A) Member Rates: CTRA/BCTRA April 8th 2017 After April 8th 2017 Amount

Pre-Conference & Full Conference $495.00 $570.00 $ ______

Full Day $250.00 $300.00 $ ______

Please note that if you are attending 2 half-day workshops, you pay the corresponding category full day registration fee.

B) Non-Member Rates: Pre-Conference & Full Conference $580.00 $655.00 $ ______

Full Day $300.00 $350.00 $ ______

Please note that if you are attending 2 half-day workshops, you pay the corresponding category full day registration fee.


C) Member Student Rates: (must be a full-time student status)

Pre-Conference & Full Conference $250.00 $300.00 $ ______

Full Day $150.00 $ 175.00 $ ______

Please note that if you are attending 2 half-day workshops, you pay the corresponding category full day registration fee.

D) Non-Member Student Rates: (must be a full-time student status)

Pre-Conference & Full Conference $300.00 $350.00 $ ______

Full Day $175.00 $200.00 $ ______

Please note that if you are attending 2 half-day workshops, you pay the corresponding category full day registration fee.

E) Processing Fee for CTRS collecting CEU’s $30.00 (members) $ ______

$35.00 (non-members) $______

F) Social Events:

Wednesday May 24:

RE-creation Session: Aquafit 6:30 am $5.00 Number of Tickets _____ $______

Thursday May 25:

RE-creation Session: Yoga 6:00am $5.00 Number of Tickets _____ $______

Winery Tour Experience: Includes glass of wine & appetizers, as well as shuttle to & from venue

$60.00 Number of Tickets _____ $______

Sunset Bike Tour: Bike tour, bike & helmet rental, transportation and light meal

____Chicken Wrap, ____ Roast Beef Wrap____ Vegetarian Wrap ----all with Salad, Cookie &

Water __ or Juice Food allergies ______(will inform Catering company)

______Height (needed for bike rental) $60.00 Number of Tickets _____ $______


G) Wine Social

Wednesday May 24 (cost for guest only) $30.00 $______

Total Amount $ ______

Early Bird Registration MUST be received by April 8th 2017 Registration Fees include the following: Breakfast, lunch, nutritional snacks and wine social.

Confirmation of Registration: Registration will be confirmed by email. Receipts will be emailed on registration day.

Registration Deadline: Registrations must be received by April 30, 2017. No late registration will be accepted due to administrative duties. NO registrations will be accepted at the door.

Cancellation Policy: All cancellations are subject to a $50.00 processing fee. Refunds will be issued within 30 days. Cancellations received after April 30, 2017 will not be refunded, however another delegate can be sent in your place.

Pre-Conference Sessions: Wed 24th

Please refer to the Conference Program and indicate your choice of full or half-day pre-conference sessions. Please indicate in the boxes with a 1 or 2 for first and second choices. This is for planning purposes only. Registration is first come first serve.

AM ____ PCS101 ____ PCS102 ____ PCS103

PM ____ PCS104 ____ PCS105____ PCS106 ____ PCS107

PM ____PCS109 (Poster Presenters 8:15-9:30PM)

Session Choices: Thursday 25th and Friday 26th

Please refer to the Conference Program and indicate your choice of concurrent sessions. Please indicate with a 1 or 2 for first and second choices. This is for planning purposes only. Registration is first come first serve.

Thursday:

10:15 to 11:45 S201(3) ____S202 _____S203 ____S204 ____S205 ____

1:00 to 2:30 S206(3) ____S207 ____ S208 ____S209____S210 ____

3:00 to 4:30 S211(3) ____S212 ____S213____S214 ____ S215 ____

Friday:

8:00 to 9:00 S301 _____S302 ____S303 ____ S304 ____S305 ____

9:15 to 10:15 S306_____S307 ____ S308 ____ S309 ____S310 ____

10:30 to 12:00 S311 ____ S312 ____S313 ____S314 _____S315 ____

1:45 to 3:15 S316_____S317 ____S318 ____ S319_____S320____

I am planning to attend the following. Please indicate with check mark (for planning purposes only)

Opening Plenary____200 Keynote Speaker ____108 Closing Address _____321 Wine Social______

Photo Consent: I authorize CTRA/BCTRA 2017 to record me through video, interviews and photographs for its own use. I understand that these recordings will become the sole property of CTRA/BCTRA and may be used and edited at their discretion. I understand that these recordings may be placed on the CTRA/BCTRA website, be reprinted in the in CTRA/BCTRA E-News/Blasts or used in other media.

□ Yes, I give my permission to be recorded/photographed/interviewed during the 2017 CTRA/BCTRA Conference

□ No I do not wish to be recorded/photographed/interviewed during the 2017 CTRA/BCTRA Conference

Name of Delegate: (please print or type name) ______Signature of delegate: (type online) ______

Date: ______

For office use only
Receipt #: ______Payee: ______
Registration #: ______
Form of payment: ¨ PayPal ¨ Cheque ¨ Money Order ¨ e Transfer to
(Private Question for e-transfer is Year and City of conference)
Date Received: ______
Email Confirmation # and Date: ______

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