In Community With ACPE's Annual Conference Registration Form
In Community With ACPE's Annual Conference Registration Form
In Community With ACPE's Annual Conference Registration Form
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Part B: Additional Tickets and Events<br />
Designated Meetings/Gathering for Stated Groups Only:<br />
VA Military Chaplains’ Meeting, Wednesday, February 8 th , 4pm I am a VA Military Chaplain, and will attend. _____<br />
ACPE Past Presidents’ Breakfast, Saturday, February 11 th , 7am I am an ACPE Past President, and will attend. _____<br />
Seminary Advisory Councils’ Breakfast, Saturday, February 11 th , 7am I am a Seminary Advisory Rep, and will attend. _____<br />
Religious Endorsing Representatives Breakfast, Saturday, February 11 th , 7am I am a Religious Endorsing Rep, and will attend. _____<br />
Clinical Members’ Advisory Council Breakfast, Saturday, February 11 th , 7am I am on the Clinical Members’ Advisory Council, and will attend. _____<br />
Red Cross Training, Tuesday, February 7 th AND Wednesday, February 8 th<br />
See Brochure for Full Descriptions and Qualifications N/C _____<br />
ACPE’s Academy for Continuing Education, Wednesday, February 8 th<br />
9am Management 103: The Best Laid Plans – The Process of Why, What, & How in Strategic Planning $100.00 _____<br />
9am Leadership Forum 130: Seminaries & ACPE Partners in Education: The Past, Present & the Future<br />
(required at no charge for ACPE’s 2012 National Leadership) $50.00 _____<br />
12pm BOXED LUNCH $28.00 _____<br />
1pm Management 203: Managing Others Starts with You $100.00 _____<br />
1pm Leadership Forum 131/Teaching and Supervisory Arts 120: Discerning Strong Applicants for CPE Supervisory Education<br />
(required at no charge for ACPE’s 2012 National Leadership) $50.00 _____<br />
1pm Academy Workshop: A Curiosity for Life Coaching $38.00 _____<br />
Faith Group Breakfasts, Friday, February 10 th<br />
Guest Name(s)_________________________________________________________<br />
7am Christian Church (Disciples of Christ) $28.00 X_____ $_____<br />
7am Episcopal Faith Group Breakfast $28.00 X_____ $_____<br />
7am Unitarian Universalist Faith Group Breakfast $28.00 X_____ $_____<br />
FCPE’s <strong>Annual</strong> Donor Recognition Celebration, Friday, February 10 th<br />
Guest Name(s)_________________________________________________________<br />
6pm By making a donation of $100 or more, you are cordially invited to attend this Recognition Celebration. $100.00 or more X_____ $_____<br />
Ticket proceeds will be forwarded to the Foundation on your behalf.<br />
per person donation<br />
Consult your tax professional for reporting this donation.<br />
Guest Tickets (purchase required for non-registered participants)<br />
Guest Name(s)_________________________________________________________<br />
6pm, Wednesday, February 8th - Presidential Dinner $75.00 X_____ $_____<br />
7pm, Thursday, February 9 th – Howard University $20.00 X_____ $_____<br />
11:30am, Friday, February 10 th – ACPE’s <strong>Annual</strong> Member Meeting $40.00 X_____ $_____<br />
9pm, Friday Night’s Birthday Party and Entertainment $30.00 X_____ $_____<br />
Part B. Total Ticket Fees Due to ACPE/REM $____________<br />
Part C: Late <strong>Registration</strong> Fees<br />
Early Bird <strong>Registration</strong> Ends December 16 th<br />
All <strong>Registration</strong>s (<strong>In</strong>clusive and One Day) received after December 16th<br />
will be required to pay this additional fee!<br />
ACPE Supervisors, Assoc. Supervisors, Candidates, Clinical Members, and Other Pastoral Care Professionals $100.00 _____<br />
CPE and Seminary Students; Retired Supervisors, Retired Members, Spouses / Significant Others $50.00 _____<br />
Part C. Total LATE REGISTRATION Fees Due to ACPE/REM $____________<br />
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