Conference Registration
Alliance for Colorado Theatre
Conference Registration Form
Fall Conference 2010
Way Out of the Box: Growing Beyond the Classroom
September 24 & 25, 2010
The Denver Center for the Performing Arts
1101 13th Street
Denver, CO 80204
303-893-4100
(Please do NOT call DCPA with your registration questions.
You may email us at: info@allianceforcoloradotheatre.com or
call ACT President, Jen Shafer at (719) 649-7195)
Attendee Information
Your information will not be shared with any other group.
Name:
Home Address:
City: State: Zip:
Phone Number:
Cell Phone Number:
Email Address:
School/Company/Organization Information
School/Company/Organization Name:
School/Company/Organization Address:
City: State: Zip:
Principal’s Name (if applicable):
Your Title at School/Company/Organization:
School/Company/Organization Phone Number:
School/Company/Organization Email and/or website:
Please mark all that apply
-
Conference registration includes continental breakfast both days, entrance to all workshops, awards luncheon, and one box lunch on Saturday September 26, 2009.
FIRST TIME ATTENDEES! Please enjoy these savings!
_______ Conference Registration, First-time attendee $75.00
Early Registration
(must be received by Friday Sept. 3, 2010)
_______ Conference Registration, First-time attendee $85.00
(received after Friday Sept. 3, 2010)
RETURNING ATTENDEES! We’re glad you’re back.
_______ Conference Registration, Early Registration $100.00
(must be received by Friday Sept. 3, 2010)
_______ Conference Registration $125.00
(received after Friday, Friday Sept. 3, 2010)
***Bring a First-time attendee for a discount!***
Returning attendees can save $10 by recommending the ACT conference to a first time attendee. A $10 refund will be given to you at the conference if the party you recommend registers and pays for the conference.
I am referring first-time attendee (Name) ______________________________________
UNIVERSITY STUDENT ATTENDEES
_______ University Student Registration, Early Registration $75.00
(must be received by Friday Sept. 3, 2010)
_______ University Student Registration $85.00
(received after Friday Sept. 3, 2010)
*Onsite registration will be available on the morning of Friday Sept. 24 for $125.00.
No credit cards will be accepted at onsite registration.
_______ Awards Banquet Luncheon, Friday Sept. 24 (no additional fee)
______ I am a workshop presenter! I will not be registering for the conference, but I would like a free box lunch on Saturday!
Do you prefer vegetarian meal(s)? Yes/No
TOTAL COST ______________
Complete your registration:
Please Email this completed form to: info@allianceforcoloradotheatre.com
or
Mail to:
David Peterson
21346 Belleview Place Centennial, CO 80015
Payment Options:
-
Credit Card/Pay Pal (online only)
-
School PO # __________ (Please try to bring the check with you and turn it in at the registration table.)
-
Check made out to ACT and mailed to: David Peterson 21346 Belleview Place Centennial, CO 80015
Please email: info@allianceforcoloradotheatre.com if you have any questions or difficulty registering.