Missouri Registration Form

9th Annual Missouri Show Me Summit On Aging & Health

Sponsored by ma4 in collaboration with the Missouri Department of Health and Senior Services
August 22 - 24, 2012 — JEFFERSON CITY – CAPITOL PLAZA HOTEL
[ printable version ]

ATTENDEE INFORMATION

Home Business
Responsible Party*: Self Organization

CONFERENCE FEES*

  By 7/15/12 By 8/2/12 On Site
Full Registration $195 $215 $225
Wednesday Only $85 $95 $119
Thursday Only $155 $170 $185
Friday Only $85 $95 $115
*Conference Fees include meals

ELDER ABUSE AND EXPLOITATION TRAINING (Option)

Full Conference Registration with Elder Abuse Training track $225
Elder Abuse Training Track Only $95

GUEST MEAL TICKETS
No access to sessions

Meal Ticket Type Ticket Price
All Meals $140
Wednesday Only (includes banquet tickets) $60
Thursday Only $95
Friday Only $35

TOURS AND OPTIONAL ITEMS

Option Name Option Price
Certificate of Attendance $10
2-Hour Missouri State Penitentiary "Prison Tour" (per person) $12
2-Hour Missouri State Penitentiary "Ghost Tour" 7:30-9:30pm (per person) $25
2-Hour Missouri State Penitentiary "Ghost Tour" 8:30-10:30pm (per person) $25
Missouri State Mansion Tour - Thursday, August 23 at 2:00pm FREE
Missouri State Capitol Tour - Thursday, August 23 at 2:00pm FREE
Summit Lake Winery "Murder Mystery Dinner" $35

ELDER ABUSE TRAINING TRACK

Yes - I have registered to take the Elder Abuse Training Track.

AIRS TESTING

Yes - I have registered to take AIRS certification testing.
Conference registration does not constitute registration for AIRS Certification exam. If you are interested in testing, all certification material, including the application, supporting documentation and appropriate exam fees must be mailed to the AIRS National Office in Fairfax, Virginia, and must arrive 30 days prior to the exam. DO NOT send your application for certification with your conference registration. If an application and payment is mailed to another address other than the AIRS National Office in Fairfax, Virginia, it will not be processed and the applicant will be unable to sit for the exam. For more AIRS information go to the AIRS Certification section of the AIRS website.

MISSOURI SENIOR TAX LEVY BOARDS MEETING

Yes - I will be attending the Missouri Senior Tax Levy Boards Meeting.

GOVERNANCE TRAINING FOR BOARDS AND COUNCILS

Yes - I will be attending the Governance Training for Boards and Councils.


Capitol Plaza Jefferson City Use the Group Code is 120821MA4