CCM/CSM and Cadence Main Conference (Household) Step 1 of 4 25% I am registering as a(n)*IndividualTwo AttendeesThree AttendeesFour or more Attendees First Name*Last Name*Email* Spouse First Name Please list the age of your dependent(s) at the time of the conference. Dependent 1 NameAge2019-2020 Completed Grade (If Applicable)Kindergarten123456789101112College StudentDependent 2 NameAge2019-2020 Completed Grade (If Applicable)Kindergarten123456789101112College StudentDependent 3 NameAge2019-2020 Completed Grade (If Applicable)Kindergarten123456789101112College StudentDependent 4 NameAge2019-2020 Completed Grade (If Applicable)Kindergarten123456789101112College StudentDependent 5 NameAge2019-2020 Completed Grade (If Applicable)Kindergarten123456789101112College StudentDependent 6 NameAge2019-2020 Completed Grade (If Applicable)Kindergarten123456789101112College StudentIs there anything our childcare/youth ministry team should know about any of your children?I am unable to attend the entire conference and would like to register for a limited number of days. Yes We are unable to attend the entire conference and would like to register for a limited number of days. Yes Conference Breakout SessionsWe are outlining the training and discussion sessions that will take place during conference. We would like to hear your suggestions. The planning committee will confirm all topics, trainers, and facilitators. Please know that by indicating interest here, you are not committing to lead a session at conference. Session Clarifications: Leading a breakout session implies you would serve as a teacher/expert of a subject; Facilitating a session indicates that you would serve primarily in a role of moderating a group discussion around a topic. Is there an area of expertise that you would like to lead as a breakout session?YesNoIf yes, please give a brief description of the topic:Are you interested in facilitating a discussion during a breakout session?YesNoIf you have a topic in mind, please list it here:Please share one to three breakout session topics that you would like to see offered at conference:Lodging OptionsPlease select one of the following housing options*Main Hotel Lodging (More than Six People), $TBD--Stacy will contact you regarding costsMain Hotel Lodging (Five to Six People) - $966Main Hotel Lodging (One to Four People) - $826Camping with Full Hookups - $329Camping with Tent Site Only - $182Please select one of the following housing options*Main Hotel Lodging (One to Four People) - $826Lone Tree Lodge (All rooms have two or three single beds, with a private bathroom) - $623Camping with Full Hookups - $329Camping with Tent Site Only - $182Please select one of the following housing options*Main Hotel Lodging (One to Four People) - $826Camping with Full Hookups - $329Camping with Tent Site Only - $182Please select one of the following housing options*Main Hotel Lodging (One to Four People) - $826Camping with Full Hookups - $329Camping with Tent Site Only - $182I will arrive at Green Lake on*Tuesday, June 23Wednesday, June 24I will depart Green Lake on*Wednesday, June 24Thursday, June 25Friday, June 26Saturday, June 27Sunday, June 28 Please select a housing option and place the number of nights you would like housing:Larger Hotel Room, up to 5 guests ($129/night)1 Night2 Nights3 Nights4 Nights5 Nights6 NightsStandard hotel Room, 1-4 guests ($109/night)1 Night2 Nights3 Nights4 Nights5 Nights6 NightsLone Tree Lodge, single beds with bathroom ($81/night)1 Night2 Nights3 Nights4 Nights5 Nights6 NightsCamping, Full Hookup ($45/night)1 Night2 Nights3 Nights4 Nights5 Nights6 NightsCamping, Electric Only ($34/night)1 Night2 Nights3 Nights4 Nights5 Nights6 NightsCamping, Tent Sites ($25/night)1 Night2 Nights3 Nights4 Nights5 Nights6 NightsYoung Adult Dependents I am interested in the option of having my twenty-something dependent housed with others in his/her age group during the conference. (If this is possible, you will be contacted once registration closes.) I would prefer that my children NOT share a bed.YesNoN/AI plan on having a roommateYesNoRoomate's Name(s)I need handicap accessible housing.YesNoMeal PlansAdult Meal Plan (Age 12 and over) - $2401 Adult2 Adults3 Adults4 Adults5 Adults6 Adults7 Adults8 AdultsChild Meal Plan (Age 6-11) - $1701 Child2 Children3 Children4 Children5 Children6 ChildrenYoung Child Meal Plan (Children 5 and under) - Free1 Young Child2 Young Children3 Young Children4 Young Children5 Young Children6 Young ChildrenAdult Meal Plan* Price: $240.00 Once you submit your registration, the exact cost of your meals will be emailed to you. Unless you notify us otherwise, your meals will begin with dinner on the day of your arrival and end with breakfast on the day of your departure. For your reference, here are the meal costs: Breakfast: $10 Lunch: $12 Dinner: $14 For all medical or allergy dietary needs, please complete this form - click here (This will open a new browser tab so you will not lose your place on the registration form) This will communicate your needs directly to Green Lake. If you have a preference for specific foods (i.e. low sugar, prefer gluten-free, etc.), please use the comment box below.Dietary Preferences:Educational Testing OptionIt has been suggested that we consider bringing in a specialist to offer psychoeducational assessments (educational testing). Students would meet with the specialist over the course of the week and then at the end of the week the family would have a consultation lasting 90-120 minutes long. Estimated costs for the assessment is around $400/child.Would you be interested in receiving an assessment for your student during conference?YesNoAdditional comments or feedback regarding potential educational testing opportunities at conference:Conference FeesConference Fee (Individual)* Price: $300.00 Conference Fee (Two Attendees)* Price: $350.00 Conference Fee (Three Attendees)* Price: $400.00 Conference Fee (Four or more Attendees)* Price: $450.00 Total Conference ExpenseConference Total $0.00 Conference T-Shirts Please mark the quantity of the t-shirts desiredUnisex Cut - please select the size of t-shirt desired (adult sizes)X-SmallSmallMediumLargeX-LargeXX-LargeXXX-LargeWomen’s Cut - please select the size of t-shirt desired (adult sizes)X-SmallSmallMediumLargeX-LargeXX-LargeXXX-LargeAdult (Unisex Cut)0 - X-Small1 - X-Small2 - X-Small3 - X-Small4 - X-Small5 - X-Small6 - X-SmallAdult (Women's Cut)0 - X-Small1 - X-Small2 - X-Small3 - X-Small4 - X-Small5 - X-Small6 - X-SmallYouth0 - X-Small1 - X-Small2 - X-Small3 - X-Small4 - X-Small5 - X-Small6 - X-SmallChildren0 - X-Small1 - X-Small2 - X-Small3 - X-Small4 - X-Small5 - X-Small6 - X-SmallAdult (Unisex Cut)0 - Small1 - Small2 - Small3 - Small4 - Small5 - Small6 - SmallAdult (Women's Cut)0 - Small1 - Small2 - Small3 - Small4 - Small5 - Small6 - SmallYouth0 - Small1 - Small2 - Small3 - Small4 - Small5 - Small6 - SmallChildren0 - Small1 - Small2 - Small3 - Small4 - Small5 - Small6 - SmallAdult (Unisex Cut)0 - Medium1 - Medium2 - Medium3 - Medium4 - Medium5 - Medium6 - MediumAdult (Women's Cut)0 - Medium1 - Medium2 - Medium3 - Medium4 - Medium5 - Medium6 - MediumYouth0 - Medium1 - Medium2 - Medium3 - Medium4 - Medium5 - Medium6 - Medium7 - Medium8 - MediumChildren0 - Medium1 - Medium2 - Medium3 - Medium4 - Medium5 - Medium6 - Medium7 - Medium8 - MediumAdult (Unisex Cut)0 - Large1 - Large2 - Large3 - Large4 - Large5 - Large6 - LargeAdult (Women's Cut)0 - Large1 - Large2 - Large3 - Large4 - Large5 - Large6 - LargeYouth0 - Large1 - Large2 - Large3 - Large4 - Large5 - Large6 - LargeChildren0 - Large1 - Large2 - Large3 - Large4 - Large5 - Large6 - LargeAdult (Unisex Cut)0 - X-Large1 - X-Large2 - X-Large3 - X-Large4 - X-Large5 - X-Large6 - X-LargeAdult (Women's Cut)0 - X-Large1 - X-Large2 - X-Large3 - X-Large4 - X-Large5 - X-Large6 - X-LargeYouth0 - X-Large1 - X-Large2 - X-Large3 - X-Large4 - X-Large5 - X-Large6 - X-LargeChildren0 - X-Large1 - X-Large2 - X-Large3 - X-Large4 - X-Large5 - X-Large6 - X-LargeAdult (Unisex Cut)0 - XX-Large1 - XX-Large2 - XX-Large3 - XX-Large4 - XX-Large5 - XX-Large6 - XX-LargeAdult (Women's Cut)0 - XX-Large1 - XX-Large2 - XX-Large3 - XX-Large4 - XX-Large5 - XX-Large6 - XX-LargeAdult (Unisex Cut)0 - XXX-Large1 - XXX-Large2 - XXX-Large3 - XXX-Large4 - XXX-Large5 - XXX-Large6 - XXX-LargeAdult (Women's Cut)0 - XXX-Large1 - XXX-Large2 - XXX-Large3 - XXX-Large4 - XXX-Large5 - XXX-Large6 - XXX-Large Please select the sub-account you would like your payment taken from*100 Work Account104 Conference Reserve121-2020 Conference ReserveHQ StaffI agree that Cadence International has the rights to all images, video, and audio recordings taken of me or anyone from my household during the 2020 conference for any purpose the organization deems appropriate.*YesNoAny other questions or special instructions you want us to be aware of?