CCL Conference Registration
Please complete to register for our 2019 CCL Conference in Grantville, PA. Feel free to contact Sarah Kreiser (, Bill McHenry (, or Rachel Keen ( with any questions regarding this event.

All payments can be sent to:
New Visions
Attn: Fairweather Lodge Conference
138 E. King Street
Shippensburg, PA 17257

Email address *
Name (first and last) *as you want it to appear on your name tag *
Your answer
Your answer
Are you/your agency a member of the CCL? *
Will you be staying at the hotel? *
Please tell us about any dietary restrictions or preferences you have. *
Your answer
Additional Activities
We are planning to offer additional activities on Tuesday and/or Thursday. These activities may include a trip to a Hershey attraction, a local lodge, or a museum.

Please note that expressing an interest in these activities does not require that you are committing to the activity

There ********may be an additional cost******** to the activity.

We will contact you at a later time to give you information on the activities if you are interested.

Which time would you be interested in participating in an activity?
Never submit passwords through Google Forms.
This form was created inside of Threshold Rehabilitation Services, Inc.. Report Abuse - Terms of Service