Creating An Inclusive Social Network
#Innovation, #Community, #Local Solutions
October 23-24
Tan-Tar-A Resort
494 Tan Tar A Drive
State Road KK
Osage Beach, MO 65065
2014 MACDDS Conference
Missouri Association of County Developmental Disabilities services
Pre-Conference Brochure
TABLE OF CONTENTS
2014 annual macdds conference
Creating An Inclusive Social Network
P. 1
General Information
P. 2
Schedule of Events
P. 3
Meeting Room Directional Map
P. 4
Conference Sessions at a Glance
P. 5
MACDDS Conference Sessions
P. 6-13
Registration Form
P. 16
Special thanks to Jake Jacobs, Executive Director
for Jackson County for creating the artwork on the
cover page.
Creating An Inclusive Social Network
#Innovation, #Community, #Local Solutions
with MACDDS
2014 Annual Conference
MACDDS, an organization of Senate Bill 40 Boards, affiliated public agencies and related private
organizations serving persons with developmental disabilities, is hosting its 2014 Annual Conference on
October 23-24 at Tan-Tar-A Resort, Osage Beach, Missouri.
MACDDS was formed in 1979 to bring together directors of “Senate Bill 40” agencies to share ideas and
information. Senate Bill 40 refers to legislation which allows counties to levy a tax to be used for persons
with developmental disabilities.
MACDDS’ Annual Conference is designed to offer up-to-date information to increase your knowledge of
developmental disabilities and help you do a better job, whether you are a direct support professional, a
supervisor, a support coordinator, an administrator, or Board member.
Join us at the Tan-Tar-A for celebrations, learning opportunities, and fun! There will be interactive
workshops, drawings for prizes, exhibits, and more. We look forward to seeing you there!
CONFERENCE COMMITTEE
Jim Casey, Co-Chair
Cole County
Beth Eiberger
DeKalb County
Nancy Hayes
Miller County
Pete Breting, Co-Chair
Pike County
Jake Jacobs
Jackson County
Kevin Gaeddert
Morgan County
Debra Wohlers
Adair County
Cindy Langford
Jasper County
Jorgi McNamara
Randolph County
Robyn Kaufman
Boone County
Marcus Whitlock
Lafayette County
Michelle Darden
St. Louis City
Ed Thomas
Camden County
Wendy Hays
Macon County
Les Wagner
Andrea Swope
Christian County
Cathy Arrowsmith
Marion County
Heather Slemp
MACDDS Executive Director
MACDDS Executive Assistant
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Betsy Barnes
Conference Planner
GENERAL INFORMATION
2014 annual macdds conference
LOCATION: Tan-Tar-A Resort
494 Tan Tar A Drive, State Road KK, P.O. Box 188TT
Osage Beach, MO 65065
HOTEL ACCOMMODATIONS: For hotel reservations, call Tan-Tar-A Resort at 1-800-TAN-TARA
(1-800-826-8272) or via the Tan-Tar-A Resort web site at www.tan-tar-a.com. Reservations must be accompanied
by a first night room deposit, or guaranteed with a major credit card. Any rooms not cancelled 72 hours in
advance of arrival date will be billed to the party guaranteeing the reservation. Guest room rates are: $89.00;
One bedroom suite $160; Two bedroom suite $240.00. Hotel room and suite rates are subject to applicable
state and local taxes plus a $5.00 per night Resort fee.
SLEEPING ROOM CUT-OFF-DATE: Reservations must be received on or before Wednesday, September 24,
2014 (the “Cut-Off Date”). At the Cut-Off-Date, Hotel will review the reservation pickup for the Event, release
unreserved rooms for general sale, and determine whether it can accept reservations based on a space-and
rate-available basis. Early arrival or stay-over requests are subject to space and rate availability.
CONFERENCE REGISTRATION FEES: MACDDS is offering a n E arly B ird S pecial for p articipants w ho r egister
early! This advanced registration will save you/your agency money. The Early Bird Special rate is $130
for MACDDS members and $150 for non-members on or before September 27, and $150 for MACDDS
members and $170 for non-members after September 27. Click here to register online.
FEES may be paid by check made out to MACDDS Conference and mailed, along with the registration form, to
MACDDS, 29 S. 9th, Suite 211, Columbia, MO 65201 or if using a credit card, on the MACDDS website (www.
macdds.org) under 2014 MACDDS Conference.
FOR PERSONS NEEDING ACCOMMODATIONS: Please check the appropriate box on the registration form if
you need special accommodations.
MEALS: The cost of lunch on Friday, October 24, is included in the conference registration. Meal tickets will
be sold on-site to late registrants on a space available basis. If you require a vegetarian meal or are on a
restricted diet, please indicate such on the registration form. All guests MUST have a meal ticket, including
award recipients and their guests.
REFUNDS: Full refunds, minus a $20 processing fee, will be made if written notice of cancellation is received
by October 1, 2014. Half of the registration fee minus processing fee will be refunded after this date. No
refunds will be made unless written notification of cancellation is received prior to the date of the conference.
CALLS: Emergency calls during the conference can be made by calling (573) 348-3131 and asking for the
MACDDS Registration Desk.
2
SCHEDULE OF EVENTS
Wednesday, October 22, 2014
2:30 p.m. - 5:00 p.m.
Participant Registration
3:00 p.m. - 5:00 p.m.
Exhibitor Setup
Thursday, October 23, 2014
8:00 a.m. - 5:00 p.m.
Participant Registration
8:00 a.m. - 8:30 a.m.
Exhibitor Setup
8:30 a.m. - 1:00 p.m.
Visit Exhibits
9:00 a.m. - 11:15 a.m.
Concurrent Sessions 1-6
11:15 a.m. - 1:00 p.m.
Lunch on Your Own/Visit Exhibitors
1:00 p.m. - 2:00 p.m.
Keynote Address: Alex Valdez
REMINDER:
Please print & bring handouts for the
sessions you are attending. Handouts
for all sessions will be available
October 7th on the MACDDS website:
www.macdds.org
Alex Valdez brings twenty-five years of speaking and entertaining experience to his
audiences. Alex is a pioneer, being the first comedian with a disability to gain national
recognition. Winner of the first Norman Lear Comedy Competition, presenter of over
2,500 comedy shows and keynote speaker to over 250 organizations, he has won the
hearts and admiration of his audiences of all ages. Alex’s presentations allow him to
entertain as well as educate.
(Pictured Above)
Alex Valdez
KEYNOTE: A FUNNY THING HAPPENEND ON THE WAY TO DIVERSITY takes
a personal, professional and humorous look at some of the obstacles, challenges and
positive avenues that Alex has taken to become the first person with a disability to
gain national recognition as a comedian. His goal is “not only to help audiences accept
his own and others’ disAbilities, but to recognize that while we may all appear very
different on the outside, on the inside we are all very much the same”. Alex takes
a very entertaining look at what he feels is the greatest disability and it is one with
which everyone can identify.
2:00 p.m. - 5:00 p.m.
Visit Exhibits
2:15 p.m. - 4:30 p.m.
Concurrent Sessions 7-15
4:30 p.m. - 9:00 p.m.
Dinner on Your Own/Exhibit Hall Closes for Conference
9:00 p.m. - Midnight
Late Night Social Networking - Parasol #1
Friday, October 24, 2014
7:45 a.m. - 8:30 a.m.
Coffee & Tea Served in Exhibit Area
9:00 a.m. - 10:00 a.m.
Concurrent Sessions 16-20
10:00 a.m. - 10:15 a.m.
Break
10:15 a.m. - 11:15 a.m.
Concurrent Sessions 21-25
11:30 a.m. - 1:00 p.m.
Lunch, Awards & Door Prizes
3
MEETING ROOM DIRECTIONAL MAP
2014 annual macdds conference
4
5
MACDDS CONFERENCE SESSIONS
Thursday, October 23, 2014
1. MISSOURI GUARDIANSHIP REFORM
Dolores Sparks, Program Specialist II, Missouri Developmental Disabilities Council.
This session will focus on the efforts of MO-WINGS (Missouri Interdisciplinary Network of
Guardianship Stakeholders) to review and recommend statutory changes to update Missouri’s adult
guardianship law. Since our present law went into effect in 1983, Missouri has enacted durable powers of
attorney laws for health care and financial/property purposes, a custodianship law, and the uniform
trust code. Our guardianship law needs to be coordinated better with those other alternatives
and be more sensitive to the needs of the elderly people and people with disabilities. Based upon the
recommendations from national experts and advocates in Missouri, MO-WINGS has been engaged in an
extensive effort to update our law for the 21st Century.
2. DOWN SYNDROME 101
Amy Allison, Executive Director, Down Syndrome Guild of Greater Kansas City.
Individuals with Down syndrome are living well into their fifties and sixties, which brings along various
health and psychosocial challenges. This session will provide accurate, up-to-date information on cooccurring medical conditions, recommended healthcare guidelines, and best practices for supporting
individuals living with Down syndrome.
3. PATHWAYS TO CAREERS
Martin Gerry, Executive Managing Director, NISH’s Institute on Economic Empowerment and Therese
Fimian, Senior Research Manager, SourceAmerica Institute for Economic Empowerment.
Pathways to Careers is a systems-change demonstration that envisions a future where individuals with
significant disabilities have an informed choice of competitive, integrated employment options across
a broad range of community settings. The informed choice model includes Discovery, linked to paid
internships for career exploration, and employer engagement strategies, identifying potential solutions
to the major barriers currently posed by the absence of long term funding.
Presenters will provide information on the current pilot site in Utah where the project is providing
job exploration and career opportunities for youth with disabilities currently enrolled in school to work
transition, adults working in facility based Community Rehabilitation Programs and adults on Medicaid
waiver waiting lists. This model includes an innovative payroll tax adjustment that engages employers
and provided permanent funding of long-term employment supports if the intern is hired.
4. GENERATIONS IN THE WORKFORCE AND HOW TO PREPARE FOR THE NEW GENERATIONS
D. Keith Bolton, Director of Human Resources, Community Living, Inc.
This program will provide you with information on the different generations in the
workforce, what shapes their views, how they like to work, how to help them work
together and how to begin preparing now for the next generation becoming the
dominant player in the workforce.
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MACDDS CONFERENCE SESSIONS
Thursday, October 23, 2014
5. SEXUALITY, DISABILITY AND ABUSE PREVENTION
Sara Willis, MA, Missouri Department of Mental Health Case Manager and Jessica Naslund, LMSW,
Certified Sexuality Educator
This session will address a systemic approach to abuse prevention for people with cognitive and
intellectual disabilities as seen through the mission of Safe Circle Coalition. Since the Coalition began
this endeavor, hundreds of individuals with varying disabilities have received comprehensive sexuality
education. Numerous families, caregivers, and staff members have attended workshops designed to
support these individuals through their unique sexual journeys.
6. LIFE COURSE FRAMEWORK: UNDERSTANDING THE COMPONENTS AND HOW TO APPLY THEM
Sheli Reynolds and Jane St. John, UMKC Institute for Human Development
Charting the Life Course is a framework that was developed to help individuals with disabilities and
their families at any stage of life think about what they need to know, identify how to find or develop
supports, and discover what it takes to live the lives they want to live. Individuals and families may
focus on their current situation and stage of life but may also find it helpful to look ahead to start
thinking about what they can do or learn now that will help build an inclusive, productive life in the
future.
7. SUPPORTING FAMILIES: COMMUNITY OF PRACTICE—AN OVERVIW OF LEARNING AND PARTNERING
Sheli Reynolds, UMKC Institute for Human Development
Why focus on families, and why now? Families are the core unit in our society, serving as a source
of support for all its members. For individuals with intellectual/developmental disabilities (I/DD) the
roles of family are unique, and often central in the support and care provided across the lifespan.
Family members play key roles in identifying and securing opportunities for their family members to
participate in meaningful ways within their community and ensuring access to self-determined lives.
Parents and other family members of individuals with intellectual/developmental disabilities often
provide medical, behavioral, financial and other daily supports beyond what most families provide. Yet
the vital role of families is not fully recognized and supported in disability policy and practice.
8. GET RESULTS WITH PASSIONATE LISTENING
William Welsch, Welsch Consulting
Most of us have had some type of training and education in how to talk but few of us have had similar
training in how to listen. In this highly interactive session, participants will practice listening in ways
new to them and will have the opportunity to witness first hand, the impact of their listening.
Participants will identify strategies to employ listening skills.
9. BUILDING ASSETS AND PROMOTING CHOICE FOR INDIVIDUALS WITH DISABILITIES
Chaz Nickolaus, Missouri Developmental Disabilities Council
The goal of this session is to provide an overview for individuals assisting persons
with disabilities to learn more about: working, public benefits, saving plans, building assets,
understanding finances, and the tools and strategies to use to help make good decisions in these areas.
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MACDDS CONFERENCE SESSIONS
Thursday, October 23, 2014
10. EXPERIENCE BASED DISASTER PREPAREDNESS—LESSIONS LEARNED FROM THE JOPLIN TORNADO
Alecia Archer, Michael Powers, and Cindy Langford
On May 22, 2011 an E-F-5 tornado tore through the town of Joplin, Missouri. Over 160 people were
killed. Approximately 30% of the homes and businesses in Joplin were destroyed. As Joplin continues
to rebuild, the community is using what was learned from this devastating event to be optimally prepared
for any future disasters.
During this presentation, a panel of speakers will describe the challenges they met after the storm, how
the needs of those they serve were met, and how they now prepare for possible future disasters.
Alecia Archer is the Executive Director of the Jasper County Senate Bill 40 Board. She will speak on
how the Board reached out to the community to determine needs, organize donations, and provide
needed funding for recovery for people with developmental disabilities. Michael Powers is the CEO
of The ARC of the Ozarks. He will describe the actions his organization took after their Joplin office
was completely destroyed, as well as what they do now to minimize loss in the event of a future
disaster. Cindy Langford is the Director of Connections Case Management. She will review the actions
that case managers took immediately after the storm to connect with the people in their caseloads,
actions they take now to make that contact easier, and the emotional effects employees encountered
when dealing with their personal trauma while assisting people on their caseloads to cope with their
own losses, fears, and grief.
11. MANAGING CONFLICT: DIFFICULT CONVERSATIONS AND COOPERATIVE PROBLEM SOLVING
Paul Ladehoff, Director of the LL.M. in Dispute Resolution Program for the Center for the Study
of Dispute Resolution at the University of Missouri School and Law and Director of the MU Campus
Mediation Service
We all experience conflict occasionally. It can happen with clients, providers, coworkers, or
supervisors. It is a natural result of the fact that we are different from each other. We have different
roles, different goals, different needs, etc. How we communicate and problem solve in these situations
can determine whether there is a constructive outcome.
At the conclusion of this workshop you will: recognize common responses to conflict in yourself and
others; understand some principles of cooperative problem solving and effective strategies for
managing difficult conversations constructively; and possess a few practical skills that you can
implement to increase constructive outcomes to conflict in your workplace.
12. THE NEW REALM OF ACCESSIBILTY: SELF-DETERMINATION
Quentin Miller, 2014 Mental Health Champion, David Griffith, Administrative Director, and Jody Turner,
Program Director for Pike County Agency for Developmental Disabilities
What is self-determination and what does it look like? This presentation will focus on self-determination
from the perspective of both a person served as well as from the perspective of an agency. Quentin
Miller, current Mental Health Champion and a person served by Pike County Agency for Developmental
Disabilities (PCADD), has taken over the reins of his own life using self-directed supports, and is showing
others by example what self-determination looks like—including PCADD staff. Quentin will discuss the
often overlooked everyday details in his life that provide for self-determination.
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MACDDS CONFERENCE SESSIONS
Thursday, October 23, 2014
PCADD is also embracing self-determination as part of an agency-wide initiative within all its programs.
Although still a work in progress, Quentin has taught PCADD staff a great deal about self-determination
and the agency is doing a thorough and systematic self-examination of routine agency processes and
procedures along with establishing measurable goals to foster self-determination.
As the title of this presentation suggests, self-determination can be thought of as an accessibility issue
and in keeping with efforts to remove accessibility barriers PCADD has sought to remove those barriers.
13. CIRCLE OF LIFE: DEVELOPING SUPPORTS 360
Bill Knittig, Director of Service Coordination, Jefferson County Developmental Disabilities Resource Board
You may have friends on Facebook, followers on Twitter, etc. that can read all about you and hit the
“Like” button or hash tag (whatever that means!); and these are all good supports. But if people do not
have supports in areas of their lives that are needed what good are these other supports? Historically,
assessments have always been applied to the person. But what would happen if we assessed both the
needs of the individual and also of the caregivers/support staff? That could almost be enough for
someone’s post to include OMG, LOL, of WT? But it is possible and it works. This session will teach
you how you could “crash” the concept. Be sure to forward this through texts to your friends!
14. STEP: OUR COMMUNITY’S JOURNEY TO ACHIEVE SUCCESSFUL HIGH SCHOOL TRANSITION
THROUGH COLLABORATION
John Savage, ACT; Renee Carter, Boone County Family Resources; and Debbie Flores, Columbia Schools
Seamless Transition through Enhanced Partnership (STEP) was a MACDDS Cutting Edge Winner in
2013. This program came about from the long-standing partnerships and collaborations among our
community agencies. This presentation will outline the importance of collaboration and how to work
together to provide meaningful and effective outcomes for our shared recipients. STEP was specifically
designed for students with intellectual/developmental disabilities who need to learn important job
skills and social competencies that would help them transition from student to employee after
graduation. This is a collaborative effort with community agencies, the schools, and Boone Hospital
Center. Students participating in STEP spend their entire senior year at Boone Hospital Center,
receive job and social skills training in the transition center, and complete an internship with support
and mentoring to learn all aspects of being an employee.
15. INNOVATIONS FOR MORE EFFICIENT AND EFFECTIVE CASE MANAGEMENT
Kim Buckman, County Connections Service Coordinator Supervisor; Robyn Peyton, St. Charles County
DDRB Case Management Director; Travis DeMoss, Center for Human Services Program Director; Andrea
Gillette, EITAS Field Trainer and Sarah West, EITAS Support Coordinator Supervisor.
These experienced case management/service coordination/support coordination supervisors/trainers
will share the tools they use to help their staff do their jobs, including various electronic
documentation systems, monitoring systems they have put in place, logging and mentoring. With the
continual addition of new requirements placed on service coordinators, finding ways to help them do
their jobs in a more efficient manner is even more important.
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MACDDS CONFERENCE SESSIONS
Friday, October 24, 2014
16. LIVING LIFE OUR OWN WAY
Jeremiah Gibson and Angela McMahan
Jeremiah Gibson and Angela McMahan are two self-advocates who are living lives on their own terms.
Each has tried traditional ISL supports in the past but found that those supports did not help them
to live the way they wanted and, instead, brought additional difficulties in their lives. Together with
their families and support team, there came a day when everyone realized there had to be another way.
This began their journey with remote monitoring and with it came increased independence, choice and
happiness with their own lives. Jeremiah has used a video-based monitoring system successfully for 3
years and Angela has used a sensor based system successfully for 2 ½ years. Their presentation will
help you understand how remote monitoring works and why it works for them.
17. LAUGHTER YOGA
Jody Hart, Certified Laughter Yoga Leader
In Laughter Yoga you will be guided through fun exercise that simulate and stimulate laughter.
Laughter Yoga is not based on humor, but on the fact that your body does not know the
difference between real and fake laughter. Laughter is easily stimulated in a group when combined with
eye contact, “childlike playfulness,” and group exercises. These exercises combined with stretching and
clapping will provide you with an easy and highly effective aerobic workout that will leave you feeling
great.
18. A SWEET SOLUTION: DESTINATION DESSERTS—A SOCIAL ENTERPRISE WITH A DUAL PURPOSE
Denise Samuels and Judy Grainger, The Center for Specialized Services
When the economy began to decline so did the chance to get someone with a disability a job. This
led The Center for Specialized Services to look for alternatives to placing someone in another business
for a job. The solution to this was Destination Desserts Food Truck. This session will take you
through the process necessary to investigate possible business opportunities, develop a business plan
and see that plan to fulfillment and success.
19. SECTION 503 UPDATES: A CHANCE FOR TRUE DIVERSITY IN EMPLOYMENT
Jackie Royer. Lead Coordinator of The Employment Collaborative
On March 24, 2014 Section 503 of the Rehabilitation Act was updated to include new outreach,
recruitment, and record keeping requirements for federal contractors and sub-contractors. These
changes present the State of Missouri with an opportunity to create true partnerships between
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MACDDS CONFERENCE SESSIONS
Friday, October 24, 2014
disability employment service providers and employers to create a truly inclusive workforce. Learn
about the history of the Rehabilitation Act, the logistics and reasoning behind the updates, and the
action we can take as providers or employers to truly change the game for people with disabilities in
Missouri.
20. CULTURAL COMPETENCY
Panel including: Robyn Peyton, St. Charles County DDRB Case Management Director, Joan Chenault,
Boone County Family Resources Director of Family & Community Living Support and others
Cultural Competency is “An organization’s ability to recognize, respect, and address the unique needs,
worth, thoughts, communications, actions, customs, beliefs, and values that reflect an individual’s
racial, ethnic, religious, and/or social groups or sexual orientation.
Come learn about resources and tools that could assist your organization with creating its cultural
competency plan. Help your staff develop an understanding of the values and beliefs of the
individuals they support and how the tools will assist them with providing respectful, individualized and
effective services/supports.
21. USING SOCIAL MEDIA EFFECTIVELY
Sherry Wolgemuth, Outreach and Referral Coordinator, Boone County Family Resources
Sharing, tweeting, liking, #hashtags—what does it all mean and how can you leverage social media
to help engage with or build community among the people you serve, their families and providers?
This session will cover how to effectively use social media to bolster your communication efforts and
tell your agency’s story in an engaging way.
22. ARE WE IN THE HAPPINESS BUSINESS?
Bruce Scott, Leadership Coach
This session will cover research on happiness to engage participants in the intentional and mindful
pursuit of their own happiness, and examine how work in a human service organization relates to
supporting happiness. Some of the topics covered will be: What is happiness? What do we know
about happiness? What do happy people have in common? And “How do you take more
responsibility for your own happiness?”
23. AIN’T NO MOUNTAIN HIGH ENOUGH. . .MAKING THE CLIMB TO EMPLOYMENT FOR ALL
Nancy Nickolaus, LCSW, Institute for Community Inclusion SELN Project and Duane Shumate,
Director of Youth Transition and Employment, Division of Developmental Disabilities
Over the past decade the concept of employment as the primary option to ensure full community
inclusion and increased financial independence for persons with disabilities has moved to the forefront
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MACDDS CONFERENCE SESSIONS
Friday, October 24, 2014
of the national disability rights movement. From Employment First State Executive orders to changes
in national policy and Department of Justice intervention, changes are occurring rapidly and will have a
lasting impact on the disability services system. This session will focus on the growing national
momentum in the promotion of employment first and the desegregation of services and supports. The
discussion will then shift Missouri’s response to the employment first movement.
24. FINANCIAL ACCOUNTABILITY
Cathy Arrowsmith, MBA, Executive Director, Marion County Services for the Developmentally Disabled
Financial statements are the report card of business. Whether you are a small business owner,
a manager, an executive, a non-profit director, or just trying to keep track of your personal finances,
you need to understand how to read, analyze, and create financial statements so you can get a full
and accurate understanding of how much money there is, how much debt is owed, the income coming
in each month, and the expenses going out the door. If you do not consider yourself a “numbers
person” this session will, hopefully, give you a better understanding of what this all means and how to
be financially accountable.
25. CMS WAIVER CHANGES
Angie Brenner, DDD Director of Federal Programs; MO HealthNet Representative
Earlier this year, the Centers for Medicare and Medicaid Services (CMS) released a final rule and
guidance on the requirements of characteristics for home and community based services in which
Medicaid-covered waiver services are provided. Every state must develop and submit to CMS a
plan no later than March 2015 of how they will implement this new rule. The process provides
multiple opportunities for stakeholder input. Topics will include time frame for implementation,
responsibilities of states, and implications for providers to be considered an HCBS setting.
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MACDDS ANNUAL CONFERENCE
October 23-24, 2014 at Tan-Tar-A Resort
To register by mail, please complete one form per registrant.
To register online please click here or go to www.macdds.org
Name:
Agency:
Address:
City/State/Zip/County:
Fax:
Phone:
Email:
I Am A:
SB 40 MACDDS Member
SB 40 Non-Member
Please Describe Any Accommodations Needed:
I Require: A. Regular Meal B. Vegetarian Meal C. Special Diet (Please Describe) :
Below, please ENTER THE NUMBER of the session you will attend and time frame. Incomplete registration forms will be returned.
This information is needed to make room assignments and to avoid overcrowding the sessions. SESSIONS MAY BE LIMITED
BECAUSE OF SPACE SO REGISTER EARLY. Thank you for your cooperation.
Thursday, October 23, 2014
Desired Session #
Registration Fees
Session
Friday, October 24, 2014
Time
Desired Session #
Session
Time
Non-Member
MACDDS Member
Before 9/27 After 9/27 Before 9/27 After 9/27
$130
$150
$150
$170
$24
$24
$24
$24
$
Payment Information
Early Bird and Regular Registration fees
Conference
Brunch Only (non-conference participants)
Total Payment Owed
Payment Type
Check (payable to MACDDS)
Check Number:
Credit Card
Card Type:
Name of Card:
Card Number:
Expiration Date:
Full Billing Address:
3-Digit Security Code:
Please print & bring handouts for the sessions you are attending. Handouts
for all sessions will be available October 7th on www.macdds.org
Register By:
Mail: MACDDS, 29 South 9th Street, Suite 211, Columbia, MO 65201 Fax: 573.635.2858 (credit cards only)
Internet: www.macdds.org