Florida Coalition for Children & the Florida Coalition for Children Foundation
2007 Annual Conference

"empowering children • families • communities"

November 14-16, 2007        Hyatt Regency Jacksonville Riverfront

Conference Registration Form

Cancellation Policy
Requests for cancellations must be made in writing. Registration fees will be refunded if request is postmarked by September 21, 2007. After September 21, 2007, registration fees are not refundable and purchase orders will be invoiced. A $25 processing fee will be deducted from all refunds.

Substitution Policy
Substitutes are welcome. Please contact Meeting Makers, Inc. at (850) 656-0025, fax the request to (850) 656-6696.

If you are paying by check, print this form and then fill it out and send it to:

Florida Coalition for Children
c/o Meeting Makers Inc.

Post Office Box 15106
Tallahassee, FL 32317-5106

Registrant Information
Dr. Mr. Ms. Mrs. Other
Professional Designations:
Name, First:
Last:
Position/Title:
Organization:
Address:
City:
County:
State:
Zip Code:
Work Telephone:
Emergency Telephone:
Fax:
E-mail:
Special Needs:
Meals: Vegetarian Meals

Conference Information

Professional Area: Administrator/CEO
Clinician
Foster/Adoptive Parent
Social Worker
Supervisor/Manager
Therapist
Other
Member Affiliation: FCC Member
Foster & Adoption Parent Associaton
Department of Children & Families
Non-member
Other
Conference Fees

Member/DCF Staff Foster/Adoptive Parent Non-Member
Full Conference
Early $200
Regular $225
Early $125
Regular $100
Early $225
Regular $250
Wednesday, Nov 14 Only
Early $125
Regular $150
Early $150
Regular $175
Thursday, Nov 15 Only
Early $125
Regular $150
Early $150
Regular $175
Friday, Nov 16 Only
Early $100
Regular $125
Early $125
Regular $150

Awards Luncheon

Extra Luncheon Tickets x $35
Early Registration must be received by September 21, 2007.
Full Conference registration fees provide the following:
  1. 2 days of keynote and multi-tract sessions by respected experts.
  2. Continental breakfast, breaks, reception and Awards Luncheon.
  3. Trade Show resources and all Conference materials.
  4. Networking opportunities to see old friends and meet new professionals!
Visa Mastercard American Express Check PO
Credit card number:
Numbers only, no spaces
Expiration date:
Name on Card: