30th Annual Children Come First Conference Registration for Adults, Youth & Exhibitors
November 11 & 12, 2019
Glacier Canyon Lodge, Wisconsin Dells
Wisconsin Family Ties sponsors this event
16 N. Carroll St. Suite 230
Madison, WI 53703

CEU's will be available through UW-LaCrosse. There will be a small fee of $20 for attendees who wish to receive the CEU's,. This fee will be paid directly to the University online. Wisconsin Family Ties pays the fee for the University to set-up the program and to review the conference line-up. The link for CEU's will be on the conference website in Fall before the conference.

www.ccfconference.org

Please list Email Address Below for Person Who is Filling Out this Form. You will receive an email with your responses to the registration as a confirmation.
Email address *
***YOUTH REGISTRATION IS CLOSED*** Cost for conference for general registration is $215; Full-time students currently attending an accredited college or university is $130; Youth who identify as having a mental health or substance use challenge (ages 12-26) is $100. When you scroll down past the options for selecting payment type, there is a spot for registering youth attendees. Contact Amy at 608-446-3290 or amya@wifamilyties.org with any questions. Cost of conference includes 2 keynote speakers; at least 53 unique workshops (offered during 9 different sessions); 2 breakfasts; 2 snacks and 2 lunches. Youth schedule is also listed on the website. Registration deadline is noon on Nov. 8th. You do not need to register for the workshops you want to attend ahead of time. A complete list of workshops is on the conference website and when they are offered. Descriptions will be added shortly. Hotel information is also available on the website. A limited number of one-day conference registrations are available for $125. www.ccfconference.org
A $50 handling fee will be charged for each registration cancelled prior to October 31, 2019. After October 31, 2019, registration fees are non-refundable.
You can register up to 4 adult attendees and 3 youth attendees on this form (if you have more to register, then start another registration):
1st adult attending - First Name (as it will appear on name tag)
Your answer
Last Name
Your answer
Email
Your answer
Full Address, including Street, City, State, Zip
Your answer
Phone number
Your answer
Organization & Your Title (if applicable)
Your answer
County
Your answer
2nd adult attending - First Name (as it will appear on name tag)
Your answer
2nd adult attending - Last Name
Your answer
2nd adult attending - Email
Your answer
2nd adult attending - Address, including Street, City, State, Zip
Your answer
2nd adult attending - Phone Number
Your answer
2nd adult attending - Organization & Your Title (if applicable)
Your answer
2nd adult attending - County
Your answer
3rd adult attending - First Name (as it will appear on name tag)
Your answer
3rd adult attending - Last Name
Your answer
3rd adult attending - Email
Your answer
3rd adult attending - Address, including Street, City, State, Zip
Your answer
3rd adult attending - Phone Number
Your answer
3rd adult attending - Organization & Your Title (if applicable)
Your answer
3rd adult attending - County
Your answer
4th adult Attending - First Name (as it will appear on name tag)
Your answer
4th adult Attending - Last Name
Your answer
4th adult Attending - Email
Your answer
4th adult Attending - Address, including Street, City, State, Zip
Your answer
4th adult Attending - Phone Number
Your answer
4th adult Attending - Organization & Your Title (if applicable)
Your answer
4th adult Attending - County
Your answer
Attending as a Family Member? - Please check all that apply (for the person filling out this form)
Untitled Title
Attending as a Professional? Please check all that apply (for the person filling out this form)
How will you be paying? You will receive an email invoice within a week of registering. *
Required
A $50 handling fee will be charged for each registration cancelled prior to October 31, 2019. After October 31, 2019, registration fees are non-refundable.
Email Where Invoice Should Be Sent. If CLTS-waiver please list name and phone number as well (in case we have any questions):
Your answer
*YOUTH REGISTRATION IS CLOSED* 1st Youth attending conference with you - name, age (must be 12-26) and email. Cost $100. (ex. John Smith, 15, jsmith@gmail.com)
Your answer
*YOUTH REGISTRATION IS CLOSED* 2nd Youth attending conference with you - name, age (must be 12-26) and email. Cost $100 (ex. John Smith, 15, jsmith@gmail.com)
Your answer
*YOUTH REGISTRATION IS CLOSED* 3rd Youth attending conference with you - name, age (must be 12-26) and email. Cost $100 (ex. John Smith, 15, jsmith@gmail.com)
Your answer
Exhibitors - 1 Conference registration is included. Second person at table is $125. Other Sponsorship Opportunities available - contact Amy (amya@wifamilyties.org)
Name & Email of Organization Exhibiting (an email will be sent with additional information once you are registered)
Your answer
Name of Person (and second person, if applicable) Exhibiting
Your answer
Any other information you would like us to know? Any special requests or accommodations needed? (If you are attending college full time, please indicate the name of the college/university here.) (If only attending one day of the conference, list which day here.
Your answer
The Children Come First Conference is presented by:
A copy of your responses will be emailed to the address you provided.
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