KYRID Spring Conference March 19, 2016 Holiday Inn Conference Center Bowling Green, KY

Registration Form

Registration: 8:00AM – 9:00AM CST After 9:00, the registration table will be closed, so that members of the board can join the workshop. Please pre-register to help us expedite the registration process.

Saturday: 9:00AM – 11:00AM CST “Red Light, Yellow Light, GOOOOO!!!” Casey Tinsley-White & Amber Fox-Young 0.2 CEU Ethics We plan to incorporate ethics related to a variety of settings to match our target audience.

Business Meeting & Elections: 11:00AM – 12:30PM CST

Lunch: 12:30PM – 2:00PM CST Lunch is Own Your Own

Saturday 2:00PM – 4:00PM CST “Red Light, Yellow Light, GOOOOO!!!” (continued) 0.2 CEU Ethics

KYRID is an Approved RID CMP Sponsor for Continuing Education Activities. This Professional Studies program is offered for 0.4 CEUs recommending some Content Knowledge Level.

KYRID KYRID Non Student Senior Members* Member* Citizen

Saturday: Free! $45 Free! Free! (Workshop & $35 Non $35 Non Membership Member Member Included)

Print Name:

Address:

City, State and Zip

Phone # (VP, TTY or FAX) Email:

Special Needs: Voice Interpreter_____ Tactile Interpreter______CART_____ SSP_____

Mail checks to KYRID at the following address: KYRID: Amy Milcznski 942 Cobble Drive Richmond, KY 40475

KYRID Chair: Zac Childers Email: [email protected]

Registrations paid by P.O. can be scanned and emailed to Amy Milcznski. [email protected]

No refunds. Credit may be issued, on an individual basis, upon request. If you are redeeming a credit, indicate type: ______Hotel Rooms Reserved for KYRID:

Holiday Inn (Conference Location) 1021 Wilkinson Trace Bowling Green, KY 42013 (270) 745-0088

Drury Inn 3250 Scottsville Road Bowling Green, KY 42104 (270) 842-7100

Other Hotels in Bowling Green:

Country Inn and Suites By Carlson 270-781-7200

Hilton Garden Inn 270-781-6788

Holiday Inn University Plaza 270-745-0088

Holiday Inn Express (not the hotel site) 270-782-6699