36Th National Adapted Physical Education Conference

43rd National Adapted Physical Education Conference: Promoting Physical Activity for All November 13-15, 2014 Hyatt at San Francisco Airport – Burlingame, CA

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CAHPERD Membership ID# & expiration date – required to register at member rate:

Early Registration Rates** Check Meal Functions you will attend: Early Registration postmark deadline date is 10/17/14. Please check appropriate boxes. Thursday Social

A. Professional CAHPERD Member $185.00 Saturday Awards Luncheon/ General Session

B. Professional Non-CAHPERD Member* $220.00 ------Payment Option: C. Speaker (must have received letter) $85.00 Made payable to CAHPERD By check, credit card or purchase order D. Retired CAHPERD Member$90.00 If needed, fill in credit card information below E. Student CAHPERD Member$90.00 Credit Card # F. Student Non-CAHPERD Member $100.00

NOTE: If registering in categories above, Meals are Credit Card Expiration Date included. Please be sure to check boxes in the column on the right to indicate which meals you will be attending. Meal tickets will not be guaranteed if boxes are not checked. Signature (required only for credit card transactions)

NOTE: Meals and Social can be purchased by checking selections below. Space is limited for Thursday Opening Session and Social! Book Mail Early Registration with Payment to: early! CAHPERD 1501 El Camino Avenue, Suite 3 G. Syllabus on-line Complimentary Sacramento, CA 95815-2748 H. Meals (Guests) $85.00 Early Registration postmark deadline date is 10/17/14** I. Guest/ Spouse Thursday Social After 10/17/14 registration is only available on-site. $25.00 Special Need Accommodations Please be sure to check boxes in the column to the right to indicate which meals you will be attending. Meal tickets will not be Check if reasonable special need accommodations guaranteed if boxes are not checked. ______are requested and describe: (Must be requested by 10/17/14 to guarantee service. Registration Total $ Early Registration postmark deadline date is 10/17/14. After 10/17/14 registration is only available on-site. HOTEL INFORMATION: Hyatt Regency San Francisco http://www.napeconference.org Group rate available until October 25, 2014. Subject to Availability. Phone: (650) 347-1234

*CAHPERD member registration rates may be obtained for non-members if CAHPERD membership is paid at the time of conference registration. Membership applications are available at CAHPERD by telephone, (916) 922-3596 or at www.cahperd.org. **All forms for Early Registration must be submitted with payment (check or Visa/MasterCard) and postmarked or faxed by 10/17/ 14 . Registrations by Visa/MasterCard or PO may be sent by fax to (916)922-0133 and must be received by 10/17/ 14 . If you are unable to meet this postmarked deadline, registration is only available on-site. No exceptions. On-site registration rates will be $60 higher in all categories, EXCEPT Retired and Student. On-site registration does NOT guarantee meals or social.