Annual Florida Conference Online Registration
Friday Feb 6 to Sunday Feb 8, 2025
Please fill in the form below. Each attendee must register and pay
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Emergency Contact
First Name
Last Name
Emergency Phone Number
Emergency Care
Can do CPR
Medical Practitioner
Conference Fee includes conference, Room and Meals
Please Select
Single Private Room two nights $330
Shared semi-Private Room two nights $250
Bunk Bed two nights $180 plus $12 linen fee.
Option: Suggested Roomate
First Name
Last Name
Commuter Option Cost per Day I will attend:
Friday Night - $20
Saturday - $20
Sunday Morning - $20
Commuters must have at least one meal per each day of attendance.
Friday dinner $20
Saturday breakfast $13
Saturday lunch $15
Saturday dinner $20
Sunday breakfast $13
Sunday lunch $15.
Dietary preferences
*
Please Select
None
dairy-free
gluten-free
vegan
pescatarian
vegetarian
nut allergies
Donation
Please Select
$50
$100
$150
$200
$300
$500
(toward Scholarship for those who cannot afford the full cost of Registration)
Conference and Donation Total
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