Western Region Meeting September 19-21, 2008
On-line Registration Form
(Please be sure that fields marked with an asterisk * are filled in.
You can use the mouse or the TAB key to move from field to field.
When completely finished, please press the "Enter" key, or click on the "Continue..." button.)
Patroller Name*:
 Guest: (Please do not list a spouse patroller as a guest.)
(Spouse patrollers register separately please.)
Street address (line 1)*:
 Street address (line 2):
City*:
 State*:
 Zipcode*:
Phone*:
 E-mail:
Your Patrol affiliation(s)*: (Primary, Secondary, etc.) and NSP/Patrol office(s)
         
Meals How many?  >  > >  v   $ $ $
 
  • Fall BOG Mtg. Friday night dinner (St. James Hotel) (open bar)
    (one meal choice, plus a vegetarian option)
    		•  $ 24 (meat option)      
    $ 24 (vegetarian option)  
  • (Patrollers registered for Saturday events (or Saturday & Sunday events) receive
    Saturday breakfast and lunch at no add'l charge. Lunch will be grilled to order.)
    		•
  • Additional Saturday breakfast and Lunch tickets for registered patrollers' guests
    		• $ 9      
     
  • Saturday evening banquet; buffet with beef, ham and chicken:
    		• $ 24 (buffet meat options)      
    $ 24 (buffet vegetarian options)  
  • (Patrollers registered for the Sunday-only Avalanche class (and not registered for Saturday
    events other than the awards banquet) receive Sunday breakfast and lunch at no add'l charge.
    Lunch will be grilled to order.)
    		•
  • Additional Sunday breakfast and Lunch tickets for registered patrollers or guests
    		• $ 9      
  • Patrol Rep. Breakfast (Sun. 8:00 - 10:30am) (PR or 1 designee per Patrol)
    		•  no cost       N/C
    Classes / Clinics / Workshops How many?  >  > >  v   $ $ $
    Two-day courses (Saturday, continuing on Sunday)        
  • Mountain Travel & Rescue Fundamentals     (Sat.10:00am - 5:00pm, Sun. 9:30am - 3:00pm)
    		•  $ 25      
  • Instructor Development     (Sat. 1:00 - 4:30pm, Sun. 9am - 12:30pm)
    		•  $ 10      
    One-day courses (Saturday only)        
  • What It Takes to Become a Senior and Certified Patroller     (Sat. 10:00 - 11:00am)
    		•  no cost       N/C
  • Shock: A tissue Issue     (Sat. 10:00 - 11:00am)
    		•  no cost       N/C
  • Traumatic Brain Injury     (Sat. 10:00 - 11:00am)
    		•  no cost       N/C
  • Effective Ski Training for Candidates and Patrollers     (Sat. 10:00 - 11:00am)
    (Possibly repeated Sat. 11:00am - noon)
    		•  no cost       N/C
  • CPR Recertification     (Sat. 10:00 - noon)     (possible processing fee paid at the time of the course)
    Sorry... This workshop is full.
    		•        N/C
  • Beginning Yoga Practice for Skiers     (Sat. 11:00am - noon)
    		•  no cost       N/C
  • Patrol Etiquette: Slope Side/Bedside Manners for Ski Patrollers     (Sat. 11:00am - noon)
    		•  no cost       N/C
  • Altitude Sickness     (Sat. 11:00am - noon)
    		•  no cost       N/C
  • OEC Instructor Recertification     (Sat. 1:00 - 4:45pm)
    		•  no cost       N/C
  • Mayo One Safety Training     (Sat. 1:00 - 2:30pm)
    		•  no cost       N/C
  • Balance Training for Skiing     (Sat. 1:00 - 2:30pm)
    		•  no cost       N/C
  • Moulage 101     (Sat. 1:00 - 2:30pm)
    		•  no cost       N/C
  • Patroller Recognition and Award Writing     (Sat. 2:45 - 3:45pm)
    		•  no cost       N/C
  • Risk Management in the Terrain Park     (Sat. 2:45 - 3:45pm)
    		•  no cost       N/C
  • Boot Fitting and Biostance    (Sat. 2:45 - 4:15pm)
    		•  no cost       N/C
  • Intermediate Yoga Practice for Skiers     (Sat. 3:45 - 4:45pm)
    		•  no cost       N/C
  • Alpine Ski Tuning & Waxing     (Sat. 3:45 - 4:45pm)
    		•  no cost       N/C
    One-day courses (Sunday only)        
  • Avalanche Fundamentals & Rescue     (Sun. 8am - 6:00pm)
    		•  $ 25      
    Registration fee* (determined and added automatically based upon your selections)

    • If you are attending only the awards banquet on Saturday evening, or only the PR Sunday breakfast, or both the Saturday evening awards banquet and the PR Sunday breakfast, and no other events on Saturday or Sunday, the registration fee is $0.

    • If you would like the $49 "deluxe" registration for Saturday, which includes Saturday breakfast & lunch, and the awards banquet, plus 3 tickets for the reception and equipment fair, please check this box . (This option can be selected only if you have purchased one or more banquet tickets, and have signed up for Saturday, or Saturday & Sunday (two-day) classes.) The cost of your banquet ticket will be subtracted automatically. > > >
         		 

    • If you are attending events on Saturday, or events on both Saturday and Sunday, and have not selected the deluxe registration option, the "regular" registration fee is $22.
      • The regular registration for Saturday includes breakfast and lunch on Saturday; banquet not included. (If you are attending classes both days, this option will be automatically selected, unless you select the "deluxe" option.)
    • Note: The regular and deluxe Saturday registration options include breakfast and lunch on Saturday. Breakfast and lunch on Sunday are not included in the Saturday registration options, and may be purchased above.

    • If you are attending only the Sunday Avalanche class, or only the Saturday evening awards banquet and the Sunday Avalanche class, and no other events on Saturday, the registration fee will be $22, and will include breakfast and lunch on Sunday.
         		 
    If you are presenting a workshop/seminar at the meeting, please check this box . (The cost of your breakfast and lunch will be subtracted automatically. > > >  

    Your registration fee shown here: > > >    		  
    (* The registration fee helps defray the banquet facility rental, postage, and other meeting costs.)
    Spouse patrollers register separately please. No on-site registrations.
    Late fee after September 5th (no exceptions)     		($ 5 per adult at banquet)  
    $ 10 late fee per adult at banquet will be charged when registering or paying
    at the registration table on Sept. 19th or 20th.
    Total Submitted:   $         		 

    I would like to pay for this with a check, or credit card.

    Additional information you would like to include with your registration:

    Click here when finished > > > (A confirmation / review page will be displayed.)

    We reserve the right to cancel any activities due to unforeseen events or lack of participation.

    Questions may be directed to Sue Hayes at hayes.susan@mayo.edu or 507-281-5702.

    If you have any questions about this on-line registration form, or are having any difficulties using it, please contact Roger Petry at rpetry@d.umn.edu