America's Fit for Life and Family Wellness Conference
Today's Child Champion Awards Luncheon
December 8th
and
9th, 2010
General Information
& Preliminary Program
Our Sponsors
& Partners
Registration & Teen Summit
Exhibitor Registration
Broadway Shows,
Hotel Information
& Parking Discounts
Today's Child
Homepage
Registration Form
Name
Organization
Title
Address
City
Phone
Fax
Email
I am a
REGISTRANT
EXHIBITOR (choose one or both)
State
Zip
Mobile
A phone number is a requirement
Workshop Choices:
Please rank all five sessions beginning with first choice (Use “1”, “2”, “3”, “4” and “5”):
Morning Sessions:
1
2
3
4
5
Workshop A—Family Wellness: Strategies for Building Strong & Lasting Relationships
1
2
3
4
5
Workshop B—Strategies for a Healthier Lifestyle
1
2
3
4
5
Workshop C—Mothers and Fathers Working Together: The Parent Pact
1
2
3
4
5
Workshop D—Family Empowerment: Steps to a Better Life
1
2
3
4
5
Workshop E—Your Financial Fitness Plan for Life
Afternoon Sessions:
1
2
3
4
5
Workshop A—The Black Male: Images, Choices and Realities
1
2
3
4
5
Workshop B—Strategies for a Healthier Lifestyle
1
2
3
4
5
Workshop C—Parenting The Special Needs Child
1
2
3
4
5
Workshop D—Family Empowerment: Steps to a Better Life
1
2
3
4
5
Workshop E—Your Financial Fitness Plan for Life
Sessions for Teens under 21
Teen Summit (Session A & B)
Check here if you require special accommodations to fully participate
Check here if you have any special dietary requirements and indicate below what they are
Price list:
Early Bird Rate: $125
(available until November 15)
Group Rate: $110
(for groups of four or more)
Teen Rate: $100
(proof of ID required at check-in)
On-Site Registration Rate: $145
Exhibitor Rate: $350
(includes 10x10 table and two chairs)