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Register for the Children's Program at the 2014 NACAC Conference

This registration form is for the children's program only. If you are paying by credit card or a PayPal account, you can complete the form below to register for the children's program at the NACAC conference. If you are paying by check or money order, you can download a PDF version of the form to complete and return with your payment.

Please register adults before registering accompanying children. If you are registering more than two children, you have an option after you submit the form to return to this page to submit another registration. If you need to register adults, click here. If you want to register for the Conference for Youth, click here.

Please note that you cannot save your registration part way through, so you must be ready to complete it fully before you begin the registration process. After you submit this form, you can click on a link where you will complete payment information.

You should receive an e-mail confirmation of your registration within two weeks. If you do not receive a confirmation, please contact us at info@nacac.org or 651-644-3036. Please add info@nacac.org to your address book to ensure your confirmation does not end up marked as junk mail or spam.

Registrant Information | Parents or Guardians

E-mail Address of Parent(s) Attending Conference
First Name
Last Name
Cell Phone (in case of emergency on site)
Hotel Staying At
Parenting Partner's Last Name (if attending)
Parenting Partner's First Name (if attending)
Driver's License # of person picking child up (for security reasons)

Child's Information

Child 1
Child's Name
Age as of July 24, 2014
Gender
Child's Current Medications

Please note that the children's program staff do not administer medication, but can carry the medicine and remind the child when to take it.

Special Arrangements (all information confidential)
Behavioral issues
Allergy, diet, or transportation requirement
Other

Permissions

I certify that I am (check one):


(Please do not grant photo or medical permissions below for foster children.)

I, the undersigned parent or guardian of the child listed above,

  • give permission for him/her to participate in program activites. If the child/youth listed above requires medical attention,
    • I / (check one) give permission to any doctor or hospital to commence treatment in the event I cannot be contacted and agree to assume any financial obligation in connection with such medical treatment
  • understand that my child may be photographed by NACAC staff, NACAC's conference photographer, or children's program staff.
    • I / (check one) give NACAC permission to use my child’s photo in their newsletters, annual reports, or other adoption-related publications, or for other permanency-related promotions (Please do not grant permission for foster children.)
  • understand that I may be asked to remove my child from the program if a discipline problem arises that has an adverse effect on other participants. If this happens, my children's program fees (pro-rated by day, if applicable) will be reimbursed.

I agree to hold the North American Council on Adoptable Children (NACAC) and its officials, employees, volunteers, and children/youth program staff and volunteers, harmless from and against claims, damages, losses, and expenses of any kind whatsoever, arising out of the placement of my child in their care, during my attendance at the NACAC conference, July 24-26, 2014.

Parent or Guardian Name:
Date:

 

Child 2
Child's Name
Age as of July 24, 2014
Gender
Child's Current Medications

Please note that the children's program staff do not administer medication, but can carry the medicine and remind the child when to take it.

Special Arrangements (all information confidential)
Behavioral issues
Allergy, diet, or transportation requirement
Other comments

Permissions

I certify that I am (check one):


(Please do not grant photo or medical permissions below for foster children.)

I, the undersigned parent or guardian of the child listed above,

  • give permission for him/her to participate in program activites. If the child/youth listed above requires medical attention,
    • I (check one) give permission to any doctor or hospital to commence treatment in the event I cannot be contacted and agree to assume any financial obligation in connection with such medical treatment
  • understand that my child may be photographed by NACAC staff, NACAC's conference photographer, or children's program staff.
    • I (check one) give NACAC permission to use my child’s photo in their newsletters, annual reports, or other adoption-related publications, or for other permanency-related promotions (Please do not grant permission for foster children.)
  • understand that I may be asked to remove my child from the program if a discipline problem arises that has an adverse effect on other participants. If this happens, my children's programfees (pro-rated by day, if applicable) will be reimbursed.

I agree to hold the North American Council on Adoptable Children (NACAC) and its officials, employees, volunteers, and children/youth program staff and volunteers, harmless from and against claims, damages, losses, and expenses of any kind whatsoever, arising out of the placement of my child in their care, during my attendance at the NACAC conference, July 24-26, 2014.

Parent or Guardian Name:
Date:

 

Additional Information

We will forward information about staff-to-child ratios and daily activities upon receipt of this form and fees. At the conference, children will be released from the program to a parent or guardian only.

Lunch will be provided on Thursday, Friday, and Saturday. Morning and afternoon snacks will be provided throughout the program. If your child has special dietary requirements, you must bring appropriate meals and snacks each day.

 

 

 



North American Council on Adoptable Children (NACAC)
970 Raymond Avenue, Suite 106
St. Paul, MN 55114
phone: 651-644-3036
fax: 651-644-9848
e-mail: info@nacac.org
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