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HomeMy WebLinkAboutJosh_2019_FCCMA_Conference_Attendance_ Approval_ Packet_201904City of Cape Canaveral Education/Training Program City Sponsorship Approval Request (Submit Competed Request Form to Duman Resources Department) Date: 4/18/2019 Employee Name: Joshua Surprenant Employee Position: Director Department: Community Services Education/Training Request: FCCMA 2019 Annual Conference Training/Education Objective: Attend two workshops — So you want to be a City/County Manager and Ethics. Is completion of training/education a pre -requisite of licensing or certification required for employee's current job classification? ❑ YES ®NO Education / Training Details Please attach training announcement with request for City sponsorship. Training Presented by: Florida City and County Management Association Location of Training: Hilton Orlando Lake Buena Vista, 1751 Hotel Plaza Blvd. Orlando, FL 32830 Title of Training: FCCMA 2019 Annual Conference Training Date(s): From 5/29/2019 from 8:30 a.m. — 5 p.m. COSTS Registration Fee: $525.00 + Tuition: + Seminar Cost: _ $ 525.00 Books and Materials: $ 0 Hotel Name: Rate per night $ X Number of nights = $ 0 Meals: # of Breakfasts X $8.00 + # of Lunches X $10.00 + # of Dinners X $18.00 = 0 Transportation: ❑ Personal Vehicle ® City Vehicle ❑ Air ❑ Rental Car Transportation Cost $ TOTAL COST OF TRAINING REQUEST $ teimbursement is contingent upon successful completion of training? ❑ YES ® NO Funds are appropriated in budget? ® YES ❑ NO Funds are available? ® YES ❑ NO It is understood that should employee leave the City's employ, for any reason, within one (1) year of payment or reimbursement of training/education costs, said employee will reimburse the City for actual cost of training to in- clude all fees, lodging, transportation, meals, books and/or tuition. In addition, the City will assume the cost of "sitting" for the licensing exam once. All costs associated with "re -testing" will be borne by the employee. Employee Signature Date 4/18/2019 Dept. Director Approval Date Human Resources Director Administrative/Financial Services Director ❑ Request Approved City Manager Date Date ❑ Request Declined Date / Ka Condon From: Sent: To: Subject: Done. Joshua Surprenant Thursday, April 18, 2019 2:25 PM Kathy Condon FW: Order Confirmation From: Member Services [mailto:MemberServices@flcities.com] Sent: Thursday, April 18, 2019 2:25 PM To: Joshua Surprenant <1.Surprenant@cityofcapecanaveral.org> Subject: Order Confirmation DoE op� 0 MA'W-Rw Hello Joshua, Your order has been received. Here are the details of your order. Please retain this email for your records. Order Number: 73404 Order Date: Apr 18, 2019 2:21 PM Bill To: Joshua Surprenant Order Total: 525.00 Payment Method: You will be billed for the balance due - Purchase Order Number . Item Price Qty Total FCCMA 2019 Annual Conference - Joshua Surprenant 525.00 1 525.00 When: May 29, 2019 8:30 AM - Jun 1, 2019 9:45 AM Where: Hilton Orlando Lake Buena Vista 1751 Hotel Plaza Blvd. Orlando, FL 32830 Registration option: May 29, 2019 4:00 PM - FCCMA Member Program Items: • May 29, 2019 8:30 AM: Pre -Con Workshop - So You Want to Be a City/County Manager • May 29, 2019 1:00 PM: Pre -Con Workshop - Ethics Item Total 525.00 Shipping AM Florida has a very broad public records law. As a result, any written communication created or received by the City of Cape Canaveral officials and employees will be made available to the public and/or media upon request, unless otherwise exempt. Under Florida Law, email addresses are public records. If you do not want your email address released in response to a public -records request, do not send electronic email to this entity. Instead, contact our office by phone or in writing Florida has a very broad public records law. As a result, any written communication created or received by the City of Cape Canaveral officials and employees will be made available to the public and/or media upon request, unless otherwise exempt. Under Florida Law, email addresses are public records. If you do not want your email address released in response to a public -records request, do not send electronic email to this entity. Instead, contact our office by phone or in writing Kathy Condon From: Joshua Surprenant Sent: Thursday, April 18, 2019 2:44 PM To: Kathy Condon Subject: FW: FCCMA 2019 Annual Conference Registration Confirmation for Joshua Surprenant (40831) Joshua Surprenant Community Services Director i.surprenantAcitvofcanecanaveral.oriz Office: 321-868-1240 Ext. 403 Cell: 321-243-8750 Fax: 321-868-1233 601 Thurm Boulevard P.O. Box 326 Cape Canaveral, FL 32920 www.citvofcapecanaveral.orR From: EVENT PLANNING (TAL)[ma ilto: EVE NTPLANNING-TAL@flcities.com] Sent: Thursday, April 18, 2019 2:28 PM To: Joshua Surprenant <J.Surprenant@cityofcapeca nave ral.org> Cc: Melanie Howe <MHowe @flcities.com> Subject: FCCMA 2019 Annual Conference Registration Confirmation for Joshua Surprenant (40831) FCCMA 2019 Annual Conference Hilton Orlando Lake Buena Vista 1751 Hotel Plaza Blvd. Orlando, FL 32830 Dear Joshua Surprenant, Thank you for registering for the FCCMA 2019 Annual Conference. We look forward to your attendance. Please do not hesitate to contact us if you have any questions prior to the event. This message is confirmation of your registration. If you paid by credit card, payment information will be detailed below. Contact Information: Melanie G. Howe, CAE, CMP Meetings Manager (850) 222-9684 mhowee-flcities.com The 2019 FCCMA Conference will be held May 29 -June 1, 2019 at the Hilton Orlando Lake Buena Vista. HOUSING INFORMATION: The Hilton is offering the reduced rate of $179 per night to conference participants. The cut- off date for reservations is May 6, 2019. Complete housing information will be included in your payment confirmation email. If you have any questions, please contact Melanie Howe. Registrant Information: Registration Date 04/18/2019 Name Joshua Surprenant Nickname Joshua Title Affiliation Cape Canaveral E-mail i.surprenant(a,citvofcapecanaveral.ors Do you have any special dietary requirements vegetarian (i.e., vegetarian, kosher, etc.)? If no, enter "N/A"; if yes, please explain. First -Time Attendee? Yes Your Itinerary: Pre -Con Workshop - So You Want to Be a $0.00 City/County Manager (1) Pre -Con Workshop - Ethics (1) $75.00 FCCMA Member (1) $450.00 Total $525.00 Payments $0.00 Balance $525.00 This is an automated e-mail. Please do not reply to this message. © 2019 Florida League of Cities, Inc. All rights reserved. Florida has a very broad public records law. As a result, any written communication created or received by the City of Cape Canaveral officials and employees will be made available to the public and/or media upon request, unless otherwise exempt. Under Florida Law, email addresses are public records. If you do not want your email address released in response to a public -records request, do not send electronic email to this entity. Instead, contact our office by phone or in writing Florida has a very broad public records law. As a result, any written communication created or received by the City of Cape Canaveral officials and employees will be made available to the public and/or media upon request, unless otherwise exempt. Under Florida Law, email addresses are public records. If you do not want your email address released in response to a public -records request, do not send electronic email to this entity. Instead, contact our office by phone or in writing CMA mevlt Matters Professional Mana9e FLORIDA CITY AND COUNTY MANAGEMENT ASSOCIATION 2019 ANNUAL CONFERENCE May 29 - June 1, 2019 ■ Hilton Orlando Lake Buena Vista Paid registration is required to receive your housing information, so sign up early! See page 7. 2 8:00 a.m. - 7:00 p.m. Registration Desk Open 8:30 a.m. -1:00 p.m. Pre -Conference Workshop - So You Want to Be a City/ County Manager: Taking the Next Step The "So You Want to Be A City/County Manager" session is designed for those interested in pursuing the top job. But it's more than just the pursuit. Getting the job is only part of the story. Transitioning into the role, working with your team, developing priorities and being successful in the position are also critical. Additionally, knowing when to leave and planning an exit strategy are all part of full -circle insight into the city/county manger role. This session will include professionals dealing with each stage of the job. Stay for lunch with these experienced professionals, where you can engage in one-on-one personal discussions at the table. Preregistration is required. 1:00 p.m. - 5:00 p.m. Pre -Conference Workshop - Creating and Maintaining a Culture of Ethics This ethics session will depart from the traditional legal lecture. Dr. Scott Paine will lead a refreshing focus on ethical behavior, values and principles. The real-time interaction promises to be informative and thought- provoking. This session will be sufficient to meet the annual four-hour ethics requirement. Preregistration and a separate registration fee of $75 is required. Registration is limited to 120 people. 4:00 p.m. - 8:00 p.m. Good Ideas Center Open 5:15 p.m. - 6:00 p.m. ICMA-RC Workshop - Invest for Today and Tomorrow: Dealing with Current Conditions How do you make sense of current market and economic conditions in managing your investments? It's about being prepared for different scenarios. This session will help you review your approach so you can stay on track toward meeting your goals. 5:30 p.m. - 6:00 p.m. First -Time Attendees' Orientation All new attendees are encouraged to attend this session where the FCCMA officers and staff will be introduced. Tips will be given on how to get the most from the conference and the association, with plenty of time for questions and answers. 6:00 p.m. - 8:00 p.m. President's Welcome Reception in the Good Ideas Center 7:30 a.m. - 5:00 p.m. Registration Desk Open 7:45 a.m. - 8:45 a.m. Continental Breakfast in the Good Ideas Center 7:45 a.m. - 3:45 p.m. Good Ideas Center Open Door prizes will be awarded during lunch and the 3:15 p.m. refreshment break. 9:00 a.m. -10:30 a.m. Opening General Session - Shift Your Brilliance: Own the Moment Sometimes happiness is where you are. Sometimes happiness is elsewhere. Wherever your calling may be, Brilliant Living dares you to pursue your dreams. Using lessons learned from working with 1,600 organizations over the past 15 years, and Simon T. Bailey's personal moments of reinvention, Brilliant Living will encourage you to grab the steering wheel of your life and drive into your future. 9:00 a.m. - 5:00 p.m. Resume Review Appointments Professional recruiters have been invited to meet one- on-one with attendees to discuss their individual resumes and the current job market. If you are interested in signing up for an appointment, contact Carol Russell at (850) 222-9684 or crusseil@flcities.com. Early res- ervations are recommended as there may be limited availability onsite. 9:00 a.m. - 5:00 p.m. Financial Planning Appointments ICMA-RC financial planning consultants will be providing individual financial planning sessions on Thursday. If you are interested in signing up for an appointment, visit the FCCMA registration desk onsite during the conference. 10:30 a.m. - 11:00 a.m. Refreshment Break in the Good Ideas Center 11:00 a.m. - 12:15 p.m. CONCURRENT SESSIONS Session 1 - Sound Investment Strategies In the decade since the Great Recession, the economy has improved. Many local governments now have the ability to invest, but may not be maximizing interest earnings on public funds. This session will explore investment policies and best investment practices for local governments. Other topics will include: Are fund managers really needed in your organization? How do you build public trust through your investments? Are there any investments that local governments should avoid for political reasons? Join us for this interactive discussion to help your organization plan for a bright financial future. Session 2 - Successful Joint City/County Services Provision Efforts County and municipal governments have the opportu- nity to coordinate programs and resources to benefit the same population of residents. Oftentimes, city government and county government see themselves as operating within their own spheres of interests rather than looking for ways to work collaboratively. Opportu- nities are missed to pursue joint purchases, coordinate roadwork and other infrastructure projects, or explore shared services. What can we do to achieve greater economies of scale by working together? This session will provide specific examples of how counties and cit- ies are working together to provide more cost-effective and higher quality solutions for their communities. Session 3 - Creating Your Smart City Road Map: A "How -To" Session We all know smart cities are our future, but how do you ask the right questions, identify your unique chal- lenges, choose appropriate solutions and chart your path through this transformative change? The Smart Cities Council/ESI ThoughtLab's Smarter Cities 2025 will show you how to build a road map. This session will demo a Rockefeller Foundation tool that models economic impacts and climate change variables and conclude with one city's journey toward sustainability. 12:15 p.m. -1:45 p.m. Buffet Lunch in the Good Ideas Center Join fellow participants and exhibitors in the exhibit hall for networking opportunities and a great lunch, as well as the chance to win some door prizes. This lunch is included in your registration fee. 2:00 p.m. - 3:15 p.m. CONCURRENT SESSIONS Session 1 - Rapid -Fire Process Improvement Success Stories Via a rapid-fire presentation format, conference at- tendees will hear from local government practitioners on how they have maximized resources to drive effi- ciency and effectiveness using process improvement. Featured projects will focus on internal methods to conduct process improvement projects. Presentations will cover the process improvement approach, team dynamics, timelines for completion, project outcomes and cost-saving results. Session 2 - Sustainability/Resiliency: How Communities Are Rising to the Challenge This session will show participants how counties and cities are working, alone and together, to find sustain- able solutions. The session will focus on tangible exam- ples of what communities have done and continue to do to be relevant in the future. Session 3 - Paying More than You Should? How to Lower Your Fleet's Risk and Claim Costs Learn how video telematics can provide you the insight to get in front of risky driving behavior before injury or damage occurs. Many Florida jurisdictions have E implemented a video -based safety program that allows them to identify and coach risky driving habits. The program has resulted in safer drivers and a decrease in costs associated with collisions for cities and counties throughout the state. 3:15 p.m. - 3:45 p.m. Refreshment Break in the Good Ideas Center Final door prizes will be drawn. 3:45 p.m. - 5:00 p.m. CONCURRENT SESSIONS Session 1 - Using Social Media in Local Government Residents are abandoning the traditional communication forums used by local governments and running to social media newsfeeds as the source of their information. As this trend continues, our local governments have to reorient our community outreach and successfully engage with residents using this low- cost but highly effective tool. This session will provide an overview of social media, practical city and county uses, how to encourage citizen engagement and best practices and organizational controls. Session 2 - Strategic Planning is Not "One Size Fits All" How robust does your strategic planning process need to be? Is your organization engaged in your process or weary of it? Is your elected body on board? Strategic planning often produces a document that sits on a shelf and does not get embedded into the organiza- tion. This session explores the best methods for setting a plan forward that can "live" inside your organization. Topics will include meeting the organization where it's at, the balance of simplicity versus complexity, main- taining internal momentum and involving the elected body and the public. Session 3 - Procurement: Bridging the Gap in Government Services The 2018 Survey of Government Procurement Profes- sionals reported that 42 percent of procurement staff are overworked. With increasing challenges there is little time to find or implement process improvements How does a manager ensure performance improve- ments? The Town of Lake Clarke Shores used an alter- native method to streamline the purchase of services, reducing costs, improving quality and eliminating mul- tiple recurring procurements while consolidating billing and invoices from numerous vendors. 5:30 p.m. - 6:15 p.m. Celebrating Professional Management - FCCMA's 2019 Awards Presentation Be sure to join your colleagues for this special event to recognize FCCMA's 2019 award winners. Dinner on your own. 9:00 P.M. - 11:00 P.M. Dessert Reception Join your colleagues for a late-night reception featuring mouth-watering desserts and great conversation. This is an event you don't want to miss and is included with your registration fee. 7:30 a.m. - 4:30 p.m. Registration Desk Open 7:45 a.m. - 8:45 a.m. Continental Breakfast 7:45 a.m. - 8:45 a.m. Inspirational Breakfast For 32 years, Dr. Joel Hunter served as senior pastor of Northland Church in Longwood. In 2017 he transitioned from that role on a mission to "go from my best inter- pretation of what the Bible says, to my best imitation of how Jesus lived." In 2018, Orlando Magazine listed him as their top most powerful voice for philanthropy and community engagement. Now Dr. Hunter serves as chairman of the Community Resource Network, a non-profit organization he founded that focuses on helping the marginalized, specifically homeless fami- lies. Dr. Hunter is the immediate past chair of the Central Florida Commission on Homelessness and also leads simple.help, a growing movement of everyday helpers doing simple things to make the world a better place. Preregistration and a separate registration fee of $35 is required. �1 9:00 a.m. - 10:15 a.m. General Session - Shaping the Future of Leadership Dr. Joyce Bono is the director of the University of Florida Leadership Lab. Her research focuses on developing leaders that are trustworthy, authentic and representative of the people they serve. She looks at the effects of positive events, resources and relationships on employees and their productivity. Dr. Bono works with organizations to increase creativity and innovation and build a leadership ladder for organizational talent. Her keynote will focus on questions such as: How has leadership changed and how can we anticipate it changing in the future? How do we inspire others to be great leaders? How do we develop and encourage the development of a "Ladder of Success" within our organization? How do we successfully lead the organization through changes that prepares it for the future? 9:00 a.m. - 5:00 p.m. Resume Review Appointments See page 2 for details. 10:30 a.m. - 11:45 a.m. CONCURRENT SESSIONS Session 1 - Cyber Security and Beyond: What You Need to Know as Manager Technology is essential to giving organizations the computer security tools needed to protect themselves from cyberattacks. Three main entities must be protected: endpoint devices (PCs, servers, mobile devices), networks and cloud -based services. Organizations must have a framework for how they deal with both attempted and successful cyberattacks A lot of information and data are at risk if you don't have the proper processes and technology, and it's a must in today's world. In this session you will be exposed to the latest technology in order to help your organization be protected. Session 2 - Addressing Homelessness through Grassroots Problem -Solving This session will highlight success stories from individuals leading the homelessness discussion throughout the state. Hear from the experts in the room, then develop an action plan of your own. This interactive session will allow everyone in the room the chance to brainstorm and leave with professional goals for tackling this important issue. Session 3 - Transportation and Transit: It's Not Just for Large Cities Anymore! Concerned about traffic? Looking for new ways to connect your residents and businesses? Join us as we discuss new options for transportation in your community. This session will highlight the lessons learned through development of local transportation, including considerations for demand response transit and microtransit, bikeshare, rideshare, scooters and ADA compliance, as well as a case study in which ridership increased tenfold in two years. 12:00 p.m. -1:30 p.m. Luncheon and Annual Business Meeting 1:45 p.m. - 3:00 p.m. CONCURRENT SESSIONS Session 1 -Toolkit for Tough Times: How to Deal with a Difficult Council Having the tools and the experience to deal with diffi- cult councils are essential for successful management. In this session you will hear from practiced and expe- rienced managers who will share real-life positive and negative experiences, and provide tools and sugges- tions on how to manage in such situations. Session 2 - Revenue Alternatives to Ad -Valorem Taxes As our communities seek to grow and improve, there is usually demand for expanded services and funding for projects and capital needs. However, there are fre- quent objections to ad -valorem and other "traditional" funding. This session will discuss funding alternatives to ad -valorem taxes such as general obligation bonds; special assessments; public/private partnerships; inter- nal financing programs; loans from enterprise funds; impact, stormwater, and fire assessment fees; use of reserves and other alternatives. L' Session 3 - The Truth Will Set You Free: Achieving Financial Sustainability through Employee Transparency Achieving financial stability is especially challenging when financial decisions directly affect employee benefits. Learn how Coral Springs city management engaged employees as part of the solution in accept- ing tough financial decisions regarding lower than expected salary adjustments and health care benefits vital to the financial challenges facing the city. The city achieved this by approaching the process with transparency using interactive modeling in "town hall" meetings, while maintaining employee morale. 3:15 p.m. - 4:30 p.m. General Session - Journeys: A Deep Dive into Meeting the Needs of the Local Government Workforce of the Future Leading a local government organization is not for the faint of heart; it takes empathy and courage. Dealing with the everyday trials and tribulations our workforce encounters can be challenging. This year's journeys session will take a deep dive into how our presenters are adjusting their leadership style to meet workforce needs for today and tomorrow. Participants will discuss the evolution of personnel, diversity in the workplace and adjusting to those dynamics. The panel will dive into policy considerations such as supporting families and caregivers, changing health and benefit practices, creating policy that helps to retain and recruit talent and creating a flexible workplace. 5:00 p.m. - 6:00 p.m. Spouses' Gathering Join other spouses and partners for an informal get- together to share advice, war stories and common interests. There is no fee for this event, but preregistration is requested. 6:30 p.m. - 9:30 p.m. Friday Night Social - Bowling at Splitsville Join us for a night of fun at Splitsville Luxury Lanes in Disney Springs"'. Try your hand at bowling or billards, or just sit back and watch the entertainment. The event includes a buffet dinner and bar. This is an event for the entire family, but everyone who attends MUST have a ticket, which will be included with your registration fee. Be sure to register your children if you will be bringing them with you. 8:00 a.m. - 9:45 a.m. Closing Breakfast -127 Hours: Between a Rock and a Hard Place "There is no force more powerful than the will to live," explains Aron Ralston, who faced an unimaginable challenge and a life -or -death decision. An ordinary man who was pushed to the extreme, he demonstrates the human capacity for the extraordinary, proving any- one can survive the most grueling circumstances. A tal- ented storyteller, Ralston recounts his ordeal, shedding new light on the meaning of sacrifice and on what is truly important. This is a tentative schedule and subject to change. Please check our website at www.fccma.org for updated conference information as it becomes available. This conference will address most ICMA Practice Groups. The final conference program will indicate group practice hours where applicable so members may plan their best use of conference time for cre- dentialing purposes. For more information contact: Carol Russell, FCCMA, P.O. Box 1757, Tallahassee, FL 32302-1757,(850) 222-9684 or crussell@flcities.com. 7 The Hilton Orlando Lake Buena Vista in the Walt Disney World' Resort will serve as the conference hotel. It is located at 1751 Hotel Plaza Boulevard. The hotel phone is (407) 827-4000. FCCMA has secured the special rate of $179 per night, single or double, for conference participants. Self -parking is $22/night. NOTE: The Hilton will not accept any reservations at this time. See below for more details. An official Walt Disney World' hotel, the Hilton is located just across the street from the reimagined Disney Springs'". Hotel amenities include two pools, 24-hour fitness center, multiple restaurants and complimentary shuttle service to all Disney parks. For complete information on the hotel, visit their website at www3.hilton.com/en/hotels/florida/ hilton-orlando-lake-buena-vista-ORLDWHH/index.html. Room Reservation Procedure In order to protect our room block for conference registrants, it is our policy that no one will receive housing information until we have received your PAID registration. Once your registration is paid, you will be sent housing information via email. NOTE: If you register online but choose to mail in your check, you will not receive your housing information until your registration is paid. Please note that the reservation cut-off date at the hotel is May 6, 2019. It is important that you register for the conference early so you have plenty of time to make your reservations. Availability is on a first-come, first-served basis. Remember that we are unable to guarantee reservations for anyone, nor the exact date on which the hotel block will sell out, so please register early. In recent years, FCCMA has experienced a disturbing trend with its room block at conference hotels. Individ- uals will book rooms for the entire length of the conference, making it appear as if the room block is sold out and forcing other registrants off -property, only to cancel or shorten the length of their stay at the last minute. This has greatly inconvenienced other guests and left FCCMA at risk of steep hotel penalties. Due to these experiences, the FCCMA Board made the difficult decision to enforce penalties for abuse of the room block. FCCMA will reserve the right to assess a $50 penalty to any registrant making significant adjustments to his or her reservation within three weeks and up to the conference. We understand that some cancellations or adjustments are unavoidable. However, we simply ask that, when making your reservations, you only block for dates that you are sure you will be able to attend. If you have any doubts about the length of your stay, please do not make your reservations until you are sure. This will benefit all registrants trying to secure a reservation in the host hotel, and will protect the association from financial harm. We thank you in advance for your cooperation and consideration. 0 ADVANCE REGISTRATION PROCEDURE All participants are encouraged to register in advance to avoid any delays at the conference registration desk. Please register online at www.fccma.org or fill out and return the conference registration form with check payment to FCCMA Annual Conference, P.O. Box 1757, Tallahassee, FL 32302. No registrations will be processed without payment in full. DEADLINE Registration forms must be received no later than May 10, 2019. If you are unable to meet this registration deadline, please register on-site at the conference. REFUNDS In the event prepaid registrants find it impossible to at- tend the conference, a letter mailed to FCCMA, emailed to mhowe@ficities.com or faxed to (850) 222-3806 and received by May 10, 2019, will authorize a refund. All refunds will be processed after the conference. A $25 administrative fee will be deducted from all canceled registrations. Prepaid registrations not canceled by this date will be included in the advance registration count required by the hotel and are not eligible for a refund. REGISTRATION FEES Registration fees must accompany all advance regis- tration forms. To qualify for the early registration rate, advance registrations must be received by the May 10, 2019, deadline, registrations received after that time will be considered "on-site" and subject to the higher rate. Remember that you will not receive housing information to make reservations at the Hilton until we receive your PAID registration. Registration fees cover admission to all events and refreshment breaks, except those events for which additional and/or preregistration is required. "Thursday or Friday ONLY" registrations include all regular events for that day only. See the schedule of events and registration form for details. Name badges or tickets are required for entrance into any activity or to enjoy the refreshment breaks. FCCMA Member $450 $560 Additional Registrant from Same Government* $420* $560* Non -Member Government $560 $610 Retiree/Student $85 $135 Thursday ONLY** $255** $315** Friday ONLY** $255** $315** Adult Guest' $100' $150' Child (under 18)' $10` $50' *No multi -registrant discounts will be allowed after May 10, 2019 **Includes all regular events for Thursday or Friday only. 'Guests are defined as family members, i.e. spouse or partner, teens and children. Guest registrations are not for use by other government or company employees. Children must also be registered in advance. `J HILTON ORLANDO LAKE BUENA VISTA • MAY 29 -JUNE 1, 2019 Full Name: Title: Mailing Address: City: Telephone: Email: First -Time Attendee? ❑ Yes ❑ No First Name or Nickname: (as you wish it to appear on your badge) Affiliation: State: Fax: (city, county or organization, etc.) If you are registering a guest or child, please complete the following: Adult Guest Full Name: First Name or Nickname: Adult Guest Full Name: Child (under 18) Full Name: Child (under 18) Full Name: First Name or Nickname: First Name or Nickname: First Name or Nickname: Please complete the Registration Information on the following page. Note: Be sure to send in BOTH pages of the registration form. Registration CANNOT be processed without both pages. CANCELLATION POLICY Because of the requirement for advance attendance guarantees, cancellation must be received and confirmed in writing by May 10, 2019, to entitle registrants to a refund of registration fees. A $25 administrative fee will be deducted from all refunds. All refunds will be issued after the conference. Zip Code: SPECIAL NEEDS If you are physically challenged and require special services, or if you have special dietary needs, please attach a written description to your advance regis- tration form. Please return to: FCCMA Annual Conference, P.O. Box 1757, Tallahassee, FL 32302. Payment must accompany each registration. No purchase order or phone registrations accepted. Remember that you will not receive housing information to make reservations at the Hilton until we receive your PAID registration. NOTE; If you are registering multiple individuals from a single government to take advantage of the special discount, these registrations must be sent in and paid at the same time. Payment Information: Amount Enclosed (enter total from back of registration form): $ NOTE: This form is for use with check payments only. To pay with Visa, MasterCard or American Express, please register online. E_ REGISTRATION INFORMATION See page 8 for restrictions on these registration types. FCCMA Member Additional Registrant from Same Government Non -Member Government Retiree/Student Thursday ONLY Friday ONLY Adult Guest Child (under 18) $450 $560 $ $420 $560 $ $560 $610 $ $85 $135 $ $255 $315 $ $255 $315 $ $100 x _ $150 x _ $ $10 x $50 x $ Special Events Additional registration is required for these events. Please indicate your attendance and include additional fees where required: Wednesday "So You Want to Be" Session @ $0.00 @ $0.00 $ Ethics Session @ $75.00 @ $75.00 $ Inspirational Breakfast @ $35.00 @ $35.00 $ Spouses' Gathering @ $0.00 @ $0.00 $ Grand Total Due (enter this amount on front of registration form): $ F