“Moving Our Values Forward” O 66th NIRSA Annual Conference & Rec Sports Expo O March 30-April 2, 2015 O Grapevine, Texas Registration Register online nirsa.net/nirsa2015 About You Last Name First Name (as you would like it to appear on your badge) Title Fax this form with credit card info 541‑766-8284 Institution / Installation / Agency Business Mailing Address City State / Province Zip Mail this form with payment: Work Phone Cell Phone NIRSA Headquarters 4185 SW Research Way Corvallis, OR 97333-1067 Email o It’s okay to share my email address with vendors who are exhibiting at the 2015 Expo Disability Services Requested o Visual o Hearing o Physical o Accompanying Personal Care Assistant o Other: Orders submitted by fax or mail will take 2-3 business days to process and will be handled on a first-come, first-served basis. Call NIRSA Headquarters Monday-Friday, 8:00am5:00pm Pacific, toll-free 877-874-7735 Get updates via email NIRSA sends updates about the Annual Conference as a benefit to all members who wish to receive them. Make sure you receive vital information ahead of the curve by adding your email address to our database. Edit your profile at www.nirsa.me to ensure NIRSA has a valid email address. Please contact [email protected] for assistance. Email addresses will be used for official NIRSA business only, and will not be sold to outside parties. Volunteer! Volunteering is a great way to network! If you are interested in volunteering during the Conference, email [email protected] If you choose any of the above options a NIRSA representative will contact you to follow up regarding your request. Registration Prices Regular Early Bird After Feb 18, 2015 On/Before Feb 18, 2015 Professional Member from Member Institution / Life Member ■■ $485 ❍❍ $555 Professional Member ■■ $565 ❍❍ $635 Professional Nonmember from Member Institution ■■ $620 ❍❍ $690 Professional Nonmember ■■ $735 ❍❍ $805 Student Member from Member Institution ■■ $365 ❍❍ $435 Student Member ■■ $450 ❍❍ $520 Student Nonmember from Member Institution ■■ $430 ❍❍ $500 Student Nonmember ■■ $525 ❍❍ $595 Associate Member (not exhibiting) ■■ $720 ❍❍ $790 Associate Nonmember (not exhibiting) ■■ $1,245 ❍❍ $1,315 Retired / Emeritus ■■ $195 ❍❍ $265 Tuesday, March 31 ■■ $360 $430 Wednesday, April 1 ■■ $360 $430 Thursday, April 2 ■■ $360 $430 One-Day Only (Student/Professional Member Only) * The term “member” refers to those with a current NIRSA membership both at the time of registration AND throughout the Conference. Nonmember registration rates include a complimentary one-year student or professional NIRSA membership. If you are unsure about your individual membership status or your institution’s membership status, please send an email to [email protected]. Bring Your Boss! Individuals not employed in recreation departments, to whom NIRSA recreation professionals report, may register at the same professional rate as a registered Annual Conference attendee. Submit your boss’ information below and the rate of your Annual Conference registration, and your supervisor, VP or President can attend at the corresponding professional rate. By attending the NIRSA Annual Conference & Recreational Sports Expo, your boss will gain insight into the contributions you and recreation make in the areas of recruitment, retention, and overall satisfaction at your institution. nirsa.net/nirsa2015 Boss’ Name Boss’ Email Boss’ Title Your Annual Conference registration rate: $ Policies & Information Payment is accepted via credit card, check, or money order. If paying by credit card, payment is due with the registration form. You may include a purchase order number on your registration form to indicate a forthcoming check; however, a purchase order is not considered payment and no purchase orders will be accepted after February 18, 2015. Preconference Events MONDAY, MARCH 30 You must be a conference registrant to attend these Preconference Events. Early Bird On/Before Feb 18, 2015 Regular After Feb 18, 2015 *Trip — Trinity River Paddle ■■ FULL ■■ FULL *Facilities Tour — Dallas Area ■■ FULL ■■ FULL *Facilities Tour — Fort Worth Area ■■ FULL ■■ FULL In order to qualify for the early bird discount, your check or money order must be postmarked no later than February 18, 2015. They must be payable to “NIRSA,” and foreign checks must be imprinted “US Funds.” *Workshop — J. Michael Dunn Student Professional Development Workshop ■■ FULL ■■ FULL Workshop — Articulating the Value of Campus Recreation ■■ $45 ❍❍ $45 Workshop — Creating a Culture of Evidence for Health & Wellbeing ■■ $60 ❍❍ $60 You will be emailed a receipt and an email confirmation, which will include a personal link to the hotel reservation system, within 15 days of receipt of your registration at NIRSA Headquarters. An email address is required to receive a receipt/ confirmation of registration. If you do not receive an email, please contact NIRSA HQ at 541-766-8211. *Workshop — Developing a Comprehensive Officials Training Program ■■ $80 ❍❍ $80 *Workshop — Engaging Social Justice: From Awareness to Action ■■ $78 ❍❍ $78 *Workshop — ACE Small Group Training ■■ $159 ❍❍ $159 Community Service Project ■■ $25 ❍❍ $25 Refund policy for conference registration cancellations T-shirt Size (for Community Service Project) m S m M m L m XL m XXL All conference cancellations and refund requests must be made in writing and mailed, faxed, or emailed to: * These events have maximum capacities. NIRSA Conference Refund 4185 SW Research Way Corvallis, OR 97333-1067 Fax: 541-766-8284 Email: [email protected] Refund requests are processed according to the following time restrictions: • Refund requests received on or before February 18, 2015 will receive a 100% refund • Refund requests received on or between February 19 and March 13, 2015 will receive a 50% refund • Refunds cannot be guaranteed for requests received on or after March 13, 2015, or for no-shows at the conference Extenuating circumstances may warrant exceptions to the refund policy. For a review of a specific refund amount or for more information about refund requests, please contact Megan Granholm, NIRSA’s Billing Coordinator, in writing. Cancellation policy for preconference events If an Annual Conference preconference event doesn’t receive a minimum number of required pre-registrants, the event may be cancelled. If this occurs, NIRSA offers either a full refund of the preconference registration fee, or the fee can be applied toward another preconference event at the same Annual Conference or toward registration fees for another NIRSA education event. Career Opportunities Center Employers: Register at www.bluefishjobs.com; select “Career Fair Registration” Non-smoking policy For the comfort and health of attendees, smoking is not permitted at any NIRSA function. This includes general sessions, educational sessions, workshops, socials, and the Recreational Sports Exposition. Responsibility code Recognizing that many people will take advantage of the opportunity for socializing and alcohol consumption, the Board of Directors, and the NIRSA Conference Program and Conference Host Committees actively encourage responsible decision-making and healthy choices. Supporting this policy, non-alcoholic beverages will be offered at all NIRSA-sponsored receptions. In accordance with Texas State Law, no alcohol will be served to anyone under age 21. What to wear Suggested conference attire is business casual. This includes khaki slacks, polo-type shirts, blazers, or sweaters. Attire for the Honor Award Banquet is semiformal. See pricing at www.BluefishJobs.com If you have any questions, contact Kendra Hall at [email protected]. Other Events Guest/Spouse Program. Please note: The Guest Program is now closed. If you have questions, please contact NIRSA. ■■ $199 ■■ $199 Mark Fletcher Fun Run — Professional or Spirit Sprinter ■■ $25 ❍❍ $25 Mark Fletcher Fun Run — Student ■■ $15 ❍❍ $15 Honor Award Banquet EXTRA TICKET Main registration includes the Honor Award Banquet. Choose this option only if you are bringing a guest who isn’t already registered for the Guest/Spouse Program. ■■ $90 $90 All Conference Social EXTRA TICKET Main registration includes the All Conference Social. Choose this option only if you are bringing a guest. ■■ $45 $45 T-shirt Size (for Fun Run) m S m M m L m XL m XXL New! — I plan to use the following: Photograph content ownership NIRSA will use photographs taken during the 2015 NIRSA Annual Conference & Recreational Sports Exposition to promote the Association and future events. Your registration form provides NIRSA with the unrestricted right to use photographs at its discretion for the purpose outlined above. FREE for Candidates Candidates: The COC is free to student and professional candidates m Conference smartphone app m Printed conference program m Both app and program Payment o I would like to use a presenter voucher/coupon for this event. Voucher/Coupon # TOTAL Voucher/Coupon Amount $ Balance must be paid in full before registration can be processed. m Visa m MasterCard m Discover m American Express m PO#/Check# ________________ Credit Card # Expiration Date Signature o I would like to use a second card for a portion of the total. Total to be charged to this card: $ _______________ m Visa m MasterCard m Discover m American Express Credit Card # Signature Expiration Date
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