ࡱ> 8:7%` bjbjNN 8*,, (D4$lhLLLLLLLL.000000$h hTQLLQQTLLiQ LL.Q.:,L@ {W5{[.B .0LR   LvTDZLLLTTY^LLLQQQQllllll$ Search and Rescue Alberta 2009 Provincial Conference Registration Form You may also register on-line at www.ticketweb.ca REGISTRATION DEADLINE: APRIL 10. After April 1, there is a $50 Late Registration Fee. NO REGISTRATIONS AT THE DOOR Last Name: _________________________________ First Name:_________________________ Mailing Address: ________________________________________________________________ City: ________________________________________ Postal Code: ______________________ SAR Group: _____________________________ Email: _________________________________ Please indicate which sessions you will be attending: Note that the Rope and Climbing Wall option requires a half-day. Saturday: 1130 1230 (Choose 1 only) _____ Safe and Effective Fire Extinguisher Use _____ Night Tracking _____ The Leadership Toolbox _____ SARVAC A Strong National Voice for SAR _____ Keys to a Successful Board Saturday: 1500 1600 (Choose 1 only) _____ Search and Rescue Dog Association Part 1 (you must also choose part 2 below) _____ Survival _____ Portable Defibrillator Use _____ H2S Aware _____ Building a Better Board Part 1 (you must also choose part 2 below) Saturday: 1630 1730 (Choose 1 only) _____ Search and Rescue Dog Association Part 2 (you must also choose part 1 above) _____ Survival (Repeat session) _____ Tapping into Volunteer Motivation _____ Weather Radio Alert System and SAR _____ Maintaining a Good Relationship with the RCMP _____ Building a Better Board Part 2 (you must also choose part 1 above) Full Conference Fee $200 Includes Friday dormitory-style accommodation; Friday evening social; all meals on Saturday; all conference Events, except Rope and Climbing Wall; all nutrition snacks; Saturday BBQ, evening social and recreation; Saturday dormitory-style accommodation; Sunday breakfast; and, AGM Double Occupancy Upgrade ($60 per room) Per person $30 Dormitory-style accommodation is included in above price; limited spaces available for this option Please indicate who you will be sharing a room with ____________________________________ OR Single Occupancy Upgrade $80 Dormitory-style accommodation is included in above price; limited spaces available for this option Optional Rope Course and Climbing Wall (limited to the first 50 applicants) $25 Discount if you cant arrive until Saturday morning -$20 Please try to arrive by 0830 on Saturday Late registration fee (After April 1 and until April 10) $50 TOTAL $__________ Enclose your payment with this registration form. Make cheques payable to Parkland Search and Rescue Society. Mail to: Norman Mathew, Box 158, Seba Beach, AB T0E 2B0. NOTES: You will receive an email confirmation of your registration as well as location information and other details about the conference Registration deadline is April 10; after April 1, a late registration fee of $50 applies FOR LOGISTICAL REASONS, THERE ARE NO REGISTRATIONS AT THE DOOR There are no refunds after April 1; requests for refunds must be made in writing. Signature: __________________________________________ Date: ____________________________ Information collected on this form will be used for the administration of the Search and Rescue Alberta 2009 Provincial Conference only. 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