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Register for the
2011 NACAC Conference

If you are paying by credit card, you can complete the form below to register for 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 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.

This registration form is for adults only. If you need to register children, click here, or follow the link after submitting adult registration.

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.

Registrant Information

E-mail Address
Last Name
First Name
Affiliation
Parenting Partner's Last Name (if attending)
Parenting Partner's First Name (if attending)
Partner's Affiliation
Partner's E-mail Address
Home Mailing Address
Home City
Home State/Province
Home Zip/Postal Code
Office Mailing Address
Office City
Office State
Office Zip
Preferred Address Is:
Home Phone
Office Phone
Fax
I am (check all that apply): adoptive parent
foster parent
adoptee
birth parent
prospective adoptive parent
prospective foster parent
social worker
medical worker
lawyer
child welfare administrator
other
This is my first NACAC conference.
Do not include me in a published registrant list.
I am willing to volunteer to be a monitor

 

Membership Information

If you would like to learn more about how membership affects your conference fees, click here.

Membership status

I would like to join today (Fill out membership application below)

I am a current NACAC individual/family member

I represent a group that is a current NACAC regular or enhanced parent group member
Group name

I work for a current organizational or national/corporate member
Organization name

I am not a NACAC member

Membership Application

If you would like to join or renew your membership with NACAC today, please fill out the form below. For information on the benefits of different levels of membership, click here (will open in another window)

Name on membership (if different from registrant name):
Please send my Adoptalk by:
New or Renewing?
For renewing members, please enter your 4- or 5-digit membership number (on your invoice):
I would like to become a member at the following level:
National/Corporate 1-year: 1000 US
1-year: 1100 CDN
 3-year: 2600 US
3-year: 2850 CDN
Organizational 1-year: 200 US
1-year: 220 CDN 		3-year: 515 US
3-year: 570 CDN
Individual/Family 1-year: 45 US
1-year: 50 CDN 		3-year: 115 US
3-year: 130 CDN
Parent Group 1-year: 45 US
1-year: 50 CDN 		3-year: 115 US
3-year: 130 CDN
Enhanced Parent Group 1-year: 200 US
1-year: 220 CDN 		3-year: 515 US
3-year: 570 CDN

 

Registration Type & Fees

If you would like more information on what your fees cover, click here.

If you would like more information about Saturday's luncheon, click here.

Full Registration
Individual Parent Couple (what's a parent couple?)
Member $305 $395
Nonmember $355 $465
Daily Registration
Individual Parent Couple
Thu Aug 5 $125 $170
Fri Aug 6 $125 $170
Sat Aug 7 $165 $225

Institute & Workshop Preferences

Select the number of the institute and the letters of the workshops you are most likely to attend. Please note that workshop titles have been shortened to save space.

If you would like more information on why we ask for workshop preferences, click here.

First Registrant:

Workshop 1
Institute
Workshop 2
Workshop 3
Workshop 4
Workshop 5
Workshop 6

Parent partner (if attending):

Workshop 1
Institute
Workshop 2
Workshop 3
Workshop 4
Workshop 5
Workshop 6

 

Pre-Conference Session

Please note that the pre-conference session is not included in the regular registration fee. People who pay to attend both the full conference and the pre-conference session receive a $25 discount on pre-conference registration fees.

If you are also attending the full conference, please check the box for the discounted registration. If two people are attending the conference, but only one is attending the pre-conference session, please write the name of the pre-conference session attendee on the blank below.

For a description of the pre-conference session, please click here.

Attending pre-conference session only or only part of the full conference ($100 per person)
Attending the full conference too ($75 per person)

if only one member of a parent couple is attending the pre-conference, enter that person's name here:

 

 

Payment

Except for membership, rates are the same in Canadian and US dollars. Canadian credit cards will be charged in US dollars. Canadian membership fees are charged in US dollars at the Canadian rate to reflect the higher costs of mailing to Canada.

Amount Due

Membership fees

+

Registration fees:

+

Pre-Conference Fees:

*Total Amount Due:
*Name on Credit Card:
*Credit Card Type:
*Credit Card Number:
*Expiration Date: Month Year
*3-Digit Code on Back of Card:
*Billing Zip Code:
Comments:
*required fields

 

 

 
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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