CONFERENCE REGISTRATION FORM

CONFERENCE REGISTRATION FORM
2 & 3 MAY, 2015
Presented By the Gippsland Members of the
Australian College of Midwives
Venue – Silverwater Resort, Phillip Island
An easy 1.5 hour drive from Melbourne CBD to San Remo (124km)
17 Potters Hill Road, San Remo 3925 VIC
Book before 1st Feb to receive discount!
ACM Member - $395 (Early Bird) / $425
Non-ACM Member - $475 (Early Bird) / $500
Student ACM Member - $350 (Early Bird) / $375
Student Non-ACM Member – $395 (Early Bird) / $425
Register online NOW via
www.midwives.org.au
]
Enquiries – E: [email protected]
PH: 1300 360 480 (local call) or (02) 6230 7333
ABN 49 289 821 863
MIDWIFERY: BE INSPIRED
Conference Outline
st
Friday Night (1 May) – Welcome reception from 1900 onwards
Saturday 2nd May
Sunday 3rd May
0900 - 0915
Welcome
0730
Breakfast with special guest speaker
0915 - 1000
Hannah Dahlen – Important midwifery research
0915-1000
1000 - 1045
Tanya Farrell - Critical Conversations in
Midwifery
1000 - 1030
1045-1115
Morning tea
1030-1100
1115-1245
1100 - 1130
1215-1300
1400 - 1445
Concurrent Sessions
Angela Kellock - Implementing water birth in
your hospital
Nicky Leap - Tackling Tocophobia: the midwifery
skill of en[courage]ment
Lunch
Rebecca McIntosh – Birth and maternal care in
seals
Maralyn Foureur – Epigenetics and Midwifery
Nicky Leap – Working with women: The
importance of language
Maureen Miles – Understanding midwives
challenges when working with pregnant women
who use illicit drugs
Pat Brodie - Changing workplace culture –
woman centred and midwife friendly?
Morning Tea
Helen McLachlan and Della Forster – A focus on
postnatal care – where to from here?
Concurrent Sessions
1300-1345
Jacinta Calabro – Implementing music therapy
Sonya Edmonds – Aromatherapy applications for
midwifery
Lunch
1445-1515
Afternoon Tea
1345-1430
1515 - 1615
Concurrent Sessions
Maralyn Foureur – Translating epigenetics into
practice
Pat Brodie – Supporting midwifery in developing
nations
Ann Kinnear–Open forum -ACM, midwifery in Vic
1430-1515
1245 - 1330
1330 - 1400
1615-1700
1130-1215
1515-1530
Hannah Dahlen - Perineal care- What works and
what we can do
Gippsland Midwifery through the ages
Raffle, evaluations, Victorian midwife of the Year
Award and ACM scholarship recipients, close.
**Please note sessions are subject to change
Accommodation
Silverwater Resort is not only our conference
venue, but has a variety of beautiful rooms
available for you to book to suit your requirements
and budget for both Friday and Saturday nights. Relax
in your room after our inspiring conference and enjoy
all of the resort facilities including pool and spa!
Please ensure you book early so as not to miss out!
Bookings essential!
Please visit www.silverwaterresort.com.au or email
[email protected] and quote the
reference “midwivesconference2015” to receive a
15% discount off the rate advertised at the time of
booking.
Activities
Breakfast – Join us for breakfast with our guest speaker
(TBA) on Sunday 3rd at Silverwater from
0730. Cost is $35. Spaces limited to 30 people.
Morning Walk – Optional local morning walk on
Saturday and Sunday from 0700 to enjoy the stunning
scenery.
Penguin Parade – See the penguins up close from
1730 (Optional - Not included in fee). Please book via
www.penguins.org.au. Prices start from $23.80.
Dinner – A conference dinner has not been organized.
However if you would like to join the committee for
dinner from 1930 on Saturday, please book a table
directly with the resort (1800 033 403 / 5671 9393). Bills
cannot be split.
MIDWIFERY: BE INSPIRED
2 & 3 May, 2015 - Silverwater Resort, Phillip Island
How Do I Register?
Online
Mail or Email
To access online registrations go to
Or fill out the form below and mail to:
www.midwives.org.au
ACM, PO Box 965, Civic Square
ACT 2608
or email: [email protected]
Go to Events tab, then select events calendar, select
Midwifery: Be Inspired
NAME
EMAIL
ADDRESS
SUBURB
STATE
POSTCODE
PHONE/MOBILE
DIETARY REQUIREMENTS
PLACE OF WORK
CONFERENCE REGISTRATION DETAILS
This form becomes a tax invoice on completion of payment.
EARLY BIRD
Prior to
GST included in prices. ABN 49 289 821 863
COST AFTER
01/02/2015
TICK
CHOICE
01/02/2015
$350.00
$375.00
⃝
$395.00
$425.00
⃝
$395.00
$425.00
⃝
$475.00
$500.00
⃝
Inclusive
Inclusive
1A ⃝
Inclusive
Inclusive
Inclusive
Inclusive
1B ⃝
2A ⃝
2B- Supporting midwifery in developing nations: P. Brodie (FULL)
Inclusive
Inclusive
2B ⃝
3A- Aromatherapy: S. Edmonds (limit 30) (FULL)
Inclusive
Inclusive
3A ⃝
Inclusive
Inclusive
3B ⃝
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
⃝
⃝
⃝
$35
$35
⃝
STUDENT – ACM member MEMBER No________________
RUNNING
TOTAL
Phone bookings only, proof of student status required.
STUDENT – NON ACM member
Phone bookings only, proof of student status required.
Current ACM member
MEMBER No________________
Non ACM member
CONCURRENT SESSIONS – Please select A or B preference (refer to program)
1A- Implementing water-birth: A. Kellock (limit 30)
OR
1B- Tackling Tocophobia: the midwifery skill of en[courage]ment : N. Leap
}
2A- Translating epigenetics into practice: M. Foureur
OR
OR
3B- Music therapy: J. Calbabro
SOCIAL FUNCTIONS
st
Friday night 1 May welcome reception (drinks at bar prices)
nd
Early morning walk, Saturday 2 May (time to be advised)
rd
Early morning walk, Sunday 3 May (time to be advised)
BREAKFAST WITH GUEST SPEAKER
Plated breakfast (numbers limited to 30)
TOTAL COST PAYABLE – Credit card or Cheque (Payable to Australian College of Midwives)
$
For any concerns regarding registration, please
contact ACM on 1300 360 480 / (02) 6230 7333
Mastercard/Visa(Circle) or email [email protected]
CREDIT CARD PAYMENT INFORMATION
NAME ON CARD_
CARD NUMBER
EXPIRY DATE
SIGNATURE
CVC NO (3 digits on back of card)
 Cancellation fee of $50.00 may apply and refunds
st
not possible after 1 April 2015
 Student registrations can only be made directly with
the ACM office. Proof of student status (copy of
current student card) will be required