UMA's 75th National Conference Registration Form "Celebrating Our Past, Planning Our Future" March 9-‐11, 2015 Name of Attendee: First Name for Badge: Organization: Title: Billing Address Line 1: Billing Address Line 2: City/State/Zip Email Address: Mobile Phone #: Other Phone #: Other Phone Type: Dietary Restrictions: ☐ Office ☐ Other ☐ Home ☐ Vegetarian ☐ Vegan ☐ No Gluten ☐ Seafood Allergy ☐ Nut Allergy Other Special Considerations: Registration Fees Qty 1st Attendee from Organization Additional Attendee from Organization, Discounted Regular Registration Late Registration (Before 2/18/2015) (After 2/17/2015) Member Non-‐Member Member Non-‐Member ☐ $650 ☐ $750 ☐ $750 ☐ $850 Member ☐ $600 Non-‐Member ☐ $700 EAGLE Peer Reviewer Training Only Member ☐ $700 Non-‐Member ☐ $800 ☐ $0 Subtotal A OPTIONAL: Tickets for guest(s) Session Opening Dinner Meeting of the Members Luncheon Celebration of Excellence Luncheon Cost $67 $33 $57 Quantity Total Guest Name(s) Subtotal B Amount Due PLEASE CHECK PAYMENT TYPE: Signature ☐ **CREDIT CARD ☐ INVOICE ME ☐ CHECK ENCLOSED Date **For PCI Compliance purposes, credit card payments must be made online. UMA will email you a link to the secure website once your registration form has been processed. Please select your sessions on page 2 UMA's 75th National Conference Registration Form "Celebrating Our Past, Planning Our Future" March 9-‐11, 2015 Name:__________________________ Please (X) to indicate the Start Time sessions you plan to attend Monday, March 9 EAGLE Peer Reviewer Training 7:30am UMA Training Committee Meeting 12:00pm UMA Board of Directors Meeting 3:00pm Opening Dinner 2015 6:00pm Networking Breakfast 7:30am Morning Worship and Communion 9:00am Tuesday, March 10 For Section Meetings -‐ Please choose one in the 10:15am time slot below: CHP Section Workshop (Chaplains) 10:15am CYF Section Meeting (Children, Youth, & Family Ministry) 10:15am OAM Section Meeting (Older Adult Ministry) 10:15am PRDM Section Meeting (PR, Development, & Marketing) 10:15am TRS Section Meeting (Trustees) 10:15am Meeting of the Members Luncheon 11:45am Uncharitable, Dan Pallotta 1:30pm Charity Case, Dan Pallotta 3:15pm The Hardest Part of Strategy: Just Do It 8:00am Wednesday, March 11 Concurrent Sessions 1A-‐1E -‐ Please choose one in the 9:30 time slot below: Workshop 1A -‐ SAIDO Learning ™: Treating Dementia and Setting Goals for Improvement 9:30am Workshop 1B -‐ Horton finds a new CEO and so can YOU! 9:30am Workshop 1C -‐ Trauma Informed Care 9:30am Workshop 1D -‐ Faith and Fundraising 9:30am Workshop 1E -‐ Grief Counseling and Grief Therapy: The State of the Art 9:30am Concurrent Sessions 2A-‐2E -‐ Please choose one in the 10:55am time slot below: Workshop 2A -‐ Integrating Risk & QUAPI to Improve Operations & Help Fulfill Your Org Mission 10:55am Workshop 2B -‐ Legal Issues Faced by Trustees 10:55am Workshop 2C -‐ Just Do It, The Workshop 10:55am Workshop 2D -‐ Creating a Philanthropic Culture That Engages Your Board 10:55am Workshop 2E -‐ Using a Resource Based Model in Grief Therapy 10:55am Celebration of Excellence Luncheon 12:00pm Above + Beyond 01:45pm
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