Conference Brochure

Power of Purpose

61st Annual Conference and Trade Show Pinehurst Resort Pinehurst, North Carolina May 15 – 18, 2017

General Information Hotel Accommodations

Continuing Education Credit

A block of rooms is being held for conference participants at the Pinehurst Resort. Room reservations may be made by contacting Pinehurst Resort directly at (855) 843-8015. Please be sure to request the LeadingAge North Carolina conference room rate of $185. The deadline for hotel reservations is April 21, 2017. To reserve a 4-bedroom villa with parlor access all four bedrooms must be reserved at the same time for the same arrival and departure dates. There is an upcharge for villas.

A maximum of 13.5 hours of continuing education credit for Nursing Home Administrators may be earned by attending all sessions. Each educational session will be applied for separately and every session attended will be credited with CEUs. Credit is applied for through the North Carolina Board of Examiners for Nursing Home Administrators and the North Carolina Division of Health Service Regulation for Adult Care Licensure. A total of 15.0 continuing professional education hours will be applied for through the National Association of State Boards of Accountancy. Certificates of Attendance and CEU Certificates will be mailed to attendees following the conference.

Pinehurst Resort 80 Carolina Vista Drive Pinehurst, NC 28374 Ph. 855-843-8015

Participants must stay for the entire session to receive credit. LeadingAge North Carolina is a Registered Sponsor of continuing education with the NC State Board of Examiners for Nursing Home Administrators. Comments regarding the Registered Sponsor Course may be addressed to: 3733 National Drive, Suite 110, Raleigh NC 27612.

Golf This year, in partnership with our Platinum Business Members, we will hold a golf outing on May 15. See Golf Outing brochure for details.

LeadingAge North Carolina is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be addressed to the National Registry of CPE Sponsors, 150 Fourth Avenue North, Suite 700, Nashville, TN, 37219-2417. Website: www.nasba.org. All sessions are basic level, with no prerequisites and/or advance preparation required. All sessions are classified as specialized knowledge/applications field of study. Delivery method is Group-Live.

Registration Registration may be completed online at www.leadingagenc.org. If you are a LeadingAge North Carolina member, be sure to log in to the site in order to receive the member discount. Alternatively, the registration form provided in this booklet may be completed and returned with payment by FAX to: (919) 869-1811 or by mail to LeadingAge North Carolina, 222 N. Person Street, Suite 205, Raleigh, NC 27601. Please do not email registration forms. The registration deadline is May 1, 2017. For more information regarding registration please contact LeadingAge North Carolina at (919) 571-8333.

61st Annual Conference and Trade Show

Cancellation Policy Written requests for cancellation must be received at the LeadingAge North Carolina Office no later than April 21, 2017. All cancellations received prior to April 21, 2017 will be refunded less a $50.00 administrative fee. All cancellations received after April 21, 2017 will be non-refundable.

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LeadingAge North Carolina

Opening Session

General Session

Tuesday, May 16 • 9:00am – 10:30am

Wednesday, May 17 • 9:30am – 11:00am

because I said I would

Reframing Aging: Building Public Support with Evidence-Based Storytelling

We live in a society that often does not respect the importance of a promise. It is too easy to say “I’ll get to it” or “tomorrow.” In many ways we have become numb to disappointment and broken commitments. This expectation starts to fade into our character as individuals. Amanda Messer believes that every individual has the strength to become a person of their word. As the Co-Founder of an international social movement, Amanda shares her insights and actionable ways to become better at fulfilling commitments. She inspires others to become more accountable to their promises through compelling and real-life examples from the because I said I would movement. Amanda convincingly illustrates how integrity and keeping your promises are forever interwoven. She discusses how holding ourselves and each other accountable truly changes humanity for the better.

We all know a good story is a communicator’s best friend, but how do you know if your story is working the way you intend? You test it! The FrameWorks Institute has recently completed a multiyear research project to identify the mental gaps, traps, and holes that can keep the public from understanding advocates’ and experts’ messages about aging and has developed evidence-based framing strategies that help people think more productively about aging-related issues. After an overview of the research findings, we will zero in on a few strategies you can begin using right away to make your messages more effective.

Amanda Messer

Jennifer Nichols

Amanda Messer is the Co-Founder and Chief Technology Officer at because I said I would, a social movement and nonprofit dedicated to the betterment of humanity through promises made and kept. At a young age Amanda learned the effect that promises broken have on relationships. Her father struggled with addiction and was not good with keeping his commitments to his little girl. Amanda was drawn to helping start because I said I would knowing that there are other children whose lives are deeply affected by broken promises. In November of 2013, Amanda became because I said I would’s first full-time employee after over a year of volunteering her time to the cause.

Jennifer Nichols is the assistant director of research interpretation and application at the FrameWorks Institute, a nonprofit think tank that conducts applied research to improve the nonprofit sector’s communications capacity. At FrameWorks, she translates research findings into handson workshops, toolkits, and communications campaigns that help advocates and policy experts build public support for social change on a range of issues. Prior to joining FrameWorks, Dr. Nichols worked in higher education and the labor movement as an educator, policy specialist, and labor organizer. She holds a B.A. from Boston University, a M.A. from Syracuse University, and a Ph.D. in English from Michigan State University.

because I said I would

Frameworks Institute

As the youngest of five children, Amanda grew up in Lorain, Ohio. Prior to co-founding because I said I would, she worked at Hyland Software – one of Fortune magazine’s top 100 places to work in the United States. Amanda has also served as the Vice President for the Cleveland User Experience Professionals Association. She currently resides in Lakewood, Ohio with her son, Trent, and her dog, Miska.

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Closing Session Thursday, May 18 • 9:00am – 11:00am

Crisis Communications: How to Manage a Crisis Issue This seminar is designed to train long term care management what to do in the event of a crisis at the community. This seminar teaches the importance of controlling the flow of information regarding the crisis and options for dealing with staff, residents and the media during a crisis.

Communications Plan for the community. The seminar has time built in for attendee interaction and Q&A. This seminar is designed for two primary outcomes: • Financial Stability – Protect the financial stability of the community by limiting or eliminating liability and exposure to lawsuits.

The seminar presents the top 10 crisis situations across the United States for all long term care communities. Ron and John discuss in detail 5 of those and how to deal with each, as well as the importance of developing a Crisis

• Reputation – Protect the community’s reputation thus protecting future revenue with census.

Ron Meritt

John Hernandez

Ron’s background and experience includes television broadcast production, on-air talent, advertising sales, business marketing and strategic public relations. Ron spent a total of 24 years on television before retiring from broadcasting and opened Critical Point Communications. His keen insight into the workings of journalism and protecting reputations through strategic crisis communications strategies has combined to protect long term care communities throughout the United States from media attacks.

During his broadcast career, John worked as a producer at several television stations across the country, winning numerous awards for his work along the way. He is a trained investigative journalist with more than 15 years broadcast experience, including a stint at a major network. In 2002, John chose to help companies and individuals overcome media attacks by using his inside knowledge of the industry and joined Critical Point Communications.

President, Critical Point Communications


CEO, Critical Point Communications

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Schedule of Events Monday, May 15 10:00am – 4:00pm

Golf Outing

4:30pm – 5:30pm

Early Registration

5:00pm – 6:30pm

Welcome Reception

6:00pm – 8:30pm

Board Meeting and Dinner

Tuesday, May 16 7:00am – 9:30am

Registration

7:30am – 8:30am

Early Bird Breakfast Session

9:00am – 10:30am

Opening Session: Amanda Messer, because I said I would

10:30am – 2:00pm

Trade Show and Lunch (Booths open entire time!)

2:00pm – 3:00pm

Concurrent Sessions 1

3:15pm – 4:15pm


4:00pm – 5:00pm

Trade Show Open with Refreshments (Grand prize drawing!)

Wednesday, May 17 7:30am – 9:30am

Registration

8:00am – 9:15am

Leadership Breakfast

8:30am – 9:30am

Attendee Breakfast

9:30am – 11:00am

General Session: Jennifer Nichols, Frameworks Institute

11:00am – 12:30pm Concurrent Sessions 3 12:30pm – 2:00pm

Awards Luncheon

2:00pm – 3:00pm


3:15pm – 4:15pm


4:30pm – 5:30pm

Concurrent Sessions 6 (All technology focused)

Thursday, May 18 9:00am – 11:00am

Closing Session: John Hernandez and Ron Meritt, Critical Point Communications

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Concurrent Education Sessions Concurrent sessions are designed to offer attendees a variety of topics under the aging services umbrella ranging from clinical care to strategic planning and leadership. Attendees are welcome to select any topic of interest.

Tuesday, May 16 • 2:00pm – 3:00pm 1A Empowering Resident-Led Initiatives and Community Collaborations ALAN TUTTEROW, WELL-SPRING RETIREMENT COMMUNITY; GARRETT SAAKE, WELL-SPRING; MOSES GOLDBERG, WELLSPRING; SKIP MACMILLAN, WELL-SPRING; JUDY HYMAN, WELL-SPRING This session will provide a case study on how Well·Spring Retirement Community has embraced and empowered resident-led initiatives and collaborated with nonprofit partners to engage with the community and provide resident life enrichment.

1B Senior Living Financial Valuation & Applications - Foundations for Organizational Growth & Evolution ROBERT GALL, HJ SIMS Learn and develop an understanding of the availability, cost, and terms of financing options and financial capacity for organizations through Financial Valuation. Professionals with extensive finance and valuation backgrounds will provide input on how campus expansions or a new venture can be undertaken or financed with these alternative transactions.

1C

Evidence-based Assessment & Management of Delirium

KAREN SULLIVAN, PH.D., ABPP, PINEHURST NEUROPSYCHOLOGY During a hospital stay, older adults are at risk for a sudden and distressing cognitive and behavior syndrome called delirium. Delirium is not nearly as well understood as its frequent companion dementia despite the fact that it exerts a significant toll on individuals, families and care systems. This session will provide a comprehensive education on the topic including the three subtypes of delirium, who is at greatest risk and how to properly assess and treat this condition.

1D

From the Outside In: Gaining a Deeper Understanding of the Prospect’s Decision Process

DEREK DUNHAM, VARSITY; JACKIE STONE, VARSITY The team of researchers who brought Project Looking Glass I and II to senior living have assembled a third in-depth ethnographic study. This research focuses on gaining a deeper understanding of the decision-making process that prospects go through when considering a move to a senior living community. This presentation will provide insights on what influences decisions to select or reject a community. These findings will assist communities in further refining their targeting techniques to make sure they are connecting with the right people to lead to a close.

Tuesday, May 16 • 3:15pm – 4:15pm 2A Strategic and Master Planning Basics: Re-positioning for Success DREW KEPLEY, CJMW ARCHITECTURE; DOUG FLEEGLE, VILLAGE ON THE GREEN - A LIFESPACE COMMUNITY; ROB LOVE, LOVE & COMPANY; DAVID SLACK, AGING RESEARCH INSTITUTE This session is intended to give providers and others an overview of the basic planning process and help them understand some of the important elements of the process. The following are the ten topics to be discussed: 1. Assemble a good team, 2. Plan your strategy (and schedule), 3. Conduct a market study, 4. Prepare a preliminary program, 5. Master plan the site, 6. Prepare preliminary budgets, 7. Test financial feasibility, 8. Refine your schedule and program, 9. Confirm and communicate the vision, 10. Document and implement. The presentation will be a panel discussion with images and video.

2B Finding Philanthropy in High-End Retirement Communities CLARE JORDAN, CAPITAL DEVELOPMENT SERVICES We all know the dilemma: retirement communities are generally viewed as homes for wealthy people, so why solicit charitable contributions? This session examines the many forms of philanthropy and ways to engage philanthropic support both for the organization itself and in support of the larger community. Learn tips for building your case for support and engaging with donors from Clare Jordan, who has worked in 3 LPCs and consults with all types of nonprofits around the Southeast.


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Concurrent Education Sessions 2C

Building High Performing Teams

RAY FISHER, WALKER HEALTHCARE SERVICES CPAs; JAN BAZOW, FORTIS GROUP, LLC An interactive presentation using real life examples of building clinical teams at a 155-bed skilled nursing facility within a large LPC. Presenters will engage in real-time polling of the audience which will determine direction of a significant portion of the presentation. Attendees will understand the following: 1) how to recognize conditions precedent to creating a team, 2) how to create purpose for the team, 3) how to measure team performance, 4) how to identify the "trip points" in the process, 5) how to define the amount of commitment required to make the team a success for the organization.

2D Pinch Those Pennies! How to Get the Most From Your Marketing Budget JESSICA KRAFT, BLUESPIRE SENIOR LIVING Speakers will detail how to segment your prospect base using publicly available data to determine the message that should resonate with your leads. Using this data, staff can craft campaigns that are hyper-targeted rather than paint each prospect with a broad stroke. Presenters will explain how communities can combine traditional and digital marketing together to reach not only new prospects, but prospects who are looking for you without your knowledge. Speakers will give specific examples of communities that have adjusted their budget to spend smartly yet received higher ROI.

Wednesday, May 17 • 11:00am – 12:30pm 3A

Creating Households: Struggles and Success 4 Years In

PAUL GREGG, GLENAIRE; BRANDON KASTNER, GLENAIRE; MELANIE JOHNSON, GLENAIRE; RICKY TOUCHSTONE, FRANK L BLUM; PETER EPERMANIS, CJMW Glenaire has renovated its health center into 4 distinct households to support the organizational changes that were made to the Household model. The presentation will touch on design decisions that were made and some construction challenges faced. The intent is to help peers across the state learn from the organizational changes made. From creating and integrating blended roles, to supporting localized decision-making, scheduling at the household level and eliminating trayline to increase choice at the point of service. Not “there” yet, but there is a lot to share.

3B

Early Acceptance: A Model LPC Without Lodging

KEN REEB, CAROL WOODS RETIREMENT COMMUNITY; HEATHER ALTMAN, CAROL WOODS RETIREMENT COMMUNITY Carol Woods’ Early Acceptance program was the first LPC Without Lodging program accepted by the NC Department of Insurance. Envisioned as a way to provide future access to long term care beds, broaden the revenue base, and positively affect fee rates to all residents over time, the goal of the program was to improve the lives of current residents with an eye toward serving future residents as well. Five years later, learn about the successes and lessons learned, including contractual elements, program design, and actual experiences of residents and staff.

3C Learning in a Circle: Redesigning Dementia Care Education with a Focus on Implementation HEATHER MCKAY, HOSPICE & PALLIATIVE CARE CENTER OF ALAMANCE-CASWELL; CONNIE POOVEY, TWIN LAKES COMMUNITY; DAVID H. COOPER, PH.D., ELON UNIVERSITY, PROFESSOR OF EDUCATION, RETIRED; TERESA HAMLETT, TWIN LAKES COMMUNITY; LAUREN COOK, TWIN LAKES COMMUNITY Today, there is no shortage of dementia education. However, abundance of information is inadequate to support diverse teams when it comes to implementing knowledge in practice. Leaders in LPCs encounter a fork in the road: continue to disseminate research in traditional educational programs or shift the focus to consider complex dimensions of applying what one knows in the dementia care setting to improve implementation. This panel presents one team’s experience of program development and the resulting educational program that addresses implementation and the culture of caregiving at LPCs.

3D Introduction to the Business Case for Diversity and Inclusion URSULA ROBINSON, PACE OF THE TRIAD This presentation uses a combination of small and large group discussions and exercises to emphasize the multi-dimensions of diversity and the difference between between Diversity and Inclusion. Attendees will also explore the changing workforce and make the connection between Diversity, Inclusion and Cultural Competence. After determining Diversity and Inclusion as a strategic imperative. attendees will be given time to assess their organization’s readiness to embrace a more diverse, multicultural, multi-generational, hyper-connected workforce and develop their organization’s next steps.

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Concurrent Education Sessions Wednesday, May 17 • 2:00pm – 3:00pm 4A A Culture-Change Journey: Vitality and Well-being KELLY STRANBURG, SHARON TOWERS Ever wondered how to create a new organizational culture that will support your strategic wellness goals? This presentation shares an organization’s journey from conception to implementation. Steps outlined include where to begin, leadership’s role, staff buy-in processes, communication techniques, and implementation strategies. Examples will be shared.

4B Quality Care Revolution - North Carolina’s Opportunities & Challenges in the Upcoming Medicaid Overhaul AARON FRAZIER, FIRST QUALITY HEALTHCARE North Carolina is undergoing an overhaul in its Medicaid program, but there are lessons throughout the country to help providers navigate the Quality Care Revolution. Both managed care organizations and provider-led entities will be seeking value-based solutions in long term care and home care settings. It is critical for providers to identify and develop quality strategies in the new world of North Carolina healthcare.

4C Finding Purpose Through Music: Enhancing Quality of Life in Long Term Care with Music Therapy JANE MAYDIAN, ALLEGRO MUSIC THERAPY & EDUCATION SERVICES, INC Music Therapy is the clinical and evidence-based use of music interventions to accomplish individualized goals. Because music therapy is a powerful and non-threatening medium, unique outcomes are possible. Music is a universal language and is naturally accessible to all. Participants in this interactive session will learn how music therapy and music interventions can be used to promote wellness, manage stress, alleviate pain, enhance memory, improve communication, and provide opportunities for positive interactions and experiences for the seniors they serve as well as their staff.

4D enRiching Lives & Our Bottom Line: A Case Study of the Impactful Employee Wellness Program at The Presbyterian Homes, Inc. WES BARTLETT, SENN DUNN INSURANCE; BOBBIE VICTORY, SENN DUNN INSURANCE, A MARSH & MCLENNAN AGENCY; MARK COLLINS, THE PRESBYTERIAN HOMES, INC This presentation will go through a case study of the employee wellness program at The Presbyterian Homes and show the demonstrable impact on medical plan cost and the health of the employee population. The program will illustrate the multi-year approach, review the outcomes to date, and include a roundtable discussion with the audience on employee wellness best practices.

Wednesday, May 17 • 3:15pm – 4:15pm 5A Transforming Higher Levels of Support Through Resident-Staff Engagement & Partnership PAT SPRIGG, CAROL WOODS; JEN WILSON, CAROL WOODS; CHARLIE DUFF, CAROL WOODS To transform the living and working experience in the Higher Levels of Support, Carol Woods embarked on a multi-year quality improvement initiative with extensive resident and staff involvement. The goals included honoring resident preferences, enhancing the culture of engagement, changing organizational structure and strengthening leadership and accountability. Hear how residents and staff worked together on the “Transformational Taskforce” to create a model that reflects the organization’s philosophy of care, breaks traditional paradigms of service delivery, and improves quality of life.

5B Outsourced Chief Investment Officer: Moving a Board’s Focus From Investments to Mission KRISTI THELEN, UBS FINANCIAL SERVICES INC. With an increasingly complex global investment landscape, and an era of rapid regulatory change, is your organization confident that it has the resources, time and expertise needed to prudently manage the investment portfolio? Could the time and energy spent on investment decisions be better spent on furthering your mission? Discussion of delegating investment oversight and discretion to a Chief Investment Officer could help with fiduciary oversight of your portfolio and free up resources for your organization.


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Concurrent Education Sessions 5C Putting the Person in Person-Centered Care JAY NEWTON-SMALL, MEMORYWELL Who are you? Who do you tell people you are when you are introduced? Those living with advanced Alzheimer’s and dementia lose the ability to introduce themselves. And yet what makes them “them” is still there. Caregivers just have to work harder to bring them out. Doing that without knowing who they are is difficult, almost impossible we’d argue. Recent U.K. studies show that incorporating biographical information into dementia care helps build empathy between staff and residents and improve the quality of life of residents. How to put the person in the center of person-centered care.

5D Living With A Purpose: Serving The Next Generation of Seniors TIM MUELLER, SFCS ARCHITECTS; JAY HIBBARD, COVENANT RETIREMENT COMMUNITIES; VERNON FEATHER, SFCS ARCHITECTS What is the purpose of senior living communities? A broad spectrum of the Silent Generation/Boomers were surveyed to discover their expectations and what changes will excite/interest them. Questions include: financial methods that are appealing, desired living environments, activities/engagement expectations and most of all what will be the driving force for them when they retire. We will provide a glimpse of how senior living communities might meet their needs/expectations and what the new community of the future may look like. The goal is to connect, inspire and serve this next generation of seniors.

Wednesday, May 17 • 4:30pm – 5:30pm 6A Facebook for Senior Living: Using Story Telling to Bring Your Community to Life KRISTINE GOODYEAR, WALKER MARKETING; BRENDA YOST, GRACE RIDGE RETIREMENT COMMUNITY Are you using Facebook to bring your community and its residents to life? Learn the many ways this popular social media platform can be part of your overall marketing strategy - from engaging content and story sharing to generating leads and garnering a loyal following. Hear examples of how a seemingly simple post can generate a whole lot of buzz and position your community as the place to be.

6B

Preventing Readmissions Virtually: Telemedicine & Your Community

BOBBY PARK, MD, RELYMD According to CMS, in 2015 nearly 45% of hospital admissions from long term care facilities could have been avoided. Direct-toconsumer telemedicine has been growing over the years. As telemedicine spreads into other areas, studies have shown that PAC & LTC facilities can reduce their emergency department transports and readmission rates. In this session, you’ll learn about how having access to telemedicine could improve your CMS five-star quality rating.

6C Senior-Designed Technology Delivers Results for a Connected Community DEREK HOLT, K4CONNECT; MICHAEL WALSH, TRINITY OAKS This session will discuss how Trinity Oaks used technology to improve resident’s independence, quality of care and quality of life. Attendees will: 1) Understand the latest trends in smart and connected technology and how they can be adopted by senior living communities. 2) Overcome technological barriers to create connection. 3) Understand the cost/benefit of a connected community utilizing smart devices. 4) Explore outcomes and monitor community trends from an integrated, responsive system to streamline community operational systems.

6D Using Voice Recognition Technology to Improve Quality of Life for Residents PATRICK SMITH, SENIOR PORTAL; MISSY JOHNSON, GALLOWAY RIDGE In a recent survey conducted by the National Council on Aging, a majority of seniors (53%) indicated that maintaining relationships with friends and family outweighs all other factors when it comes to maintaining a high quality of life. And 84% cite technology as crucial to their ability to connect with the world around them. But when it comes to technology improving the lives of seniors, social connectedness is just the tip of the iceberg. Today’s cutting edge technology voice recognition has the potential to simplify and enrich the lives of older adults like never before.

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Front Porch

Kendall

Taylor

Stevens

Pinehurst Gift Shop

Presidential Suite

Kids Club

Coffee Shop

Links Shop

The Putterboy Room Meeting Planners Offices

The Spa

Carolina Hall (Lower Level)

Carolina Terrace (Lower Level)

Floor Plan


Registration Information 3 WAYS TO REGISTER BY MAY 1, 2017 1. Online by entering your information with credit card via our Web site: www.LeadingAgeNC.org. LANC members should log on to receive the Member Discount. 2. Fax your completed registration form with credit card information to 919-869-1811. 3. Mail your registration form with a check or credit card information to LeadingAge NC, 222 N. Person Street, Suite 205, Raleigh, NC 27601. Please do not email registration forms.

STEP 1: CONTACT INFORMATION Attendee Type:

q Attendee

q Speaker

q Exhibitor

NHA License #

Attendee First and Last Name & Title: Organization: Mailing Address: City:

State:

Telephone: (

)

Fax: (

)

Zip Code:

EMAIL:

STEP 2: PLEASE CHECK THE FOLLOWING IF THEY APPLY. (All included with full registration.) q I am a President/CEO/ED of a Member Community and will attend the Leadership Breakfast on Wednesday, May 17 at 8:00am I plan to attend the following meals/events: Monday, May 15:

q Welcome Reception at 5:00pm

Tuesday, May 16:

q Breakfast with State Regulators at 7:00am

q Lunch at 12:30pm

Wednesday, May 17:

q Attendee Breakfast at 8:00am

q Awards Luncheon at 12:30pm

Thursday, May 18:

q Closing Breakfast at 9:00am

q Dietary Restrictions, if any:

STEP 3: CIRCLE EDUCATION SESSIONS Tuesday, May 16

Wednesday, May 17

2:00pm – 3:00pm

1A

1B

1C

1D

3:15pm – 4:15pm

2A

2B

2C

2D

11:00am – 12:30pm

3A

3B

3C

3D

2:00pm – 3:00pm

4A

4B

4C

4D

3:15pm – 4:15pm

5A

5B

5C

5D

4:30pm – 5:30pm

6A

6B

6C

6D

STEP 4: CALCULATE REGISTRATION FEES A

FULL CONFERENCE Fees include all educational sessions and admission to all meals and events. 1st Participant $595

COST $

2nd Participant

$570

$

3+ Participants*

$535

$

Member Community Board of Directors or Resident

$225

$

Concurrent Session Speaker

$400

$

Non-Member

$720

$ TOTAL $

*(Third person plus discount applies after first and second person fees are applied. Individual communities within multi-site organizations are considered separate communities for purpose of applying discounts for multiple participants. The corporate headquarters of a multi-site organization is considered to be a community in this context and may apply the discount for multiple participants who are employed at the corporate headquarters.)

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Registration Information B

DAILY REGISTRATION FEES

COST

Tuesday Only (Includes Monday Welcome Reception, All Educational Sessions, Breakfast, and Trade Show) Member Community Board of Directors or Resident

$400

$

$125

$

Non-Member

$500

$

Wednesday Only (Includes all Educational Sessions, Breakfast, Awards Luncheon, and Thursday Closing Session). Member Community Board of Directors or Resident

$400

$

$125

$

Non-Member

$500

$ TOTAL $

C

GUEST PASS Guest pass includes access to all events, activities and meals. Available to spouse, partner, family and/or friend of Community Member conference participant. Must accompany full conference registration. $100/person. Please list name and email address of individual(s) receiving extra tickets (if applicable) FULL NAME

COST

EMAIL

1.

$

2.

$ TOTAL $ TOTAL REGISTRATION FEES SECTION B $

SECTION A $

TOTAL ENCLOSED SECTION C $

$

STEP 5: PAYMENT INFORMATION Charge to:

q Visa

q Master Card

q Discover

q American Express

Credit Card Number: Security Code:

Expiration Date:

Card Holder name: Signature of Card Holder: Billing Address: City/State/Zip: Telephone:


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