The Chair Academy : 2009 Conference

Full Name:
Title/Position:
College:
Address:
City:
St/Prov:
Zip code:	Country:
Email:
Verify Email:
Phone:
Fax:
Dietary Restrictions	I.E. Vegetarian, Vegan, Diabetic

How did you hear about this conference?


I attended an Academy	I have been to a conference	A colleague	Brochure in the mail from Chair Academy	Email from Chair Academy

Check here if you do not want your information printed on the conference participant list.

Emergency Contact Information (Mandatory)

Full Name:
Relationship:
Phone:

Pre-Conference Workshops, Monday, March 2, 2009

Full Day - 9:00 am to 3:30 pm - $125 (please select only one)
(This fee includes a continental breakfast, am refreshment break, and materials)

	Session 1 Managing Conflicts Peacefully and Powerfully
	Session 2 The Trick to Being a Chair/Organizational Leader
	Session 3 Vince Lombardi or the Dalai Lama? Creating Coaching Plans to Uncover Strengths and Improve Performance
	Session 4 Focusing Your Strengths to Turn Mountains to Molehills
	Session 5 Learn, Leverage, Lead: Strength-Based Strategies for Leading Others

Full Conference Registration, March 2-5, 2009

Conference rates include the following:

Continental Breakfast Tuesday, Wednesday, Thursday
AM/PM Breaks Tuesday, Wednesday
AM Break Thursday
Welcome Reception Monday Evening
Tuesday Night Spectacular! Sit-down dinner and Concert featuring (Entertainment to be determined)
All Conference Participants will receive "Vital Friends" by Tom Rath
All Conference Participants will receive a "StrengthsQuest(tm) Online Assessment Code"

Check here if you have taken the StrengthsQuest(tm) Online Assessment.
If you have already taken the StrengthsQuest Online Assessment, you do not need to take it again.

Registration received by January 30, 2009:
These fees include admission to the Tuesday Night Spectacular!
$450 - Early-Bird Registration Fee
$425 - Chair Academy Member* (New members must select membership type below)
$410 - Conference Sponsor (Click here to check if your college is a sponsor)

Registration received AFTER January 30, 2009:
These fees include admission to the Tuesday Night Spectacular!
$485 - Registration Fee
$455 - Chair Academy Member* (New members must select membership type below)
$410 - Conference Sponsor (Click here to check if your college is a sponsor)

*Membership - Individual or Institutional
I am currently NOT a member and would like to become one! This entitles you to the member rate above. Your individual membership will be added to your registration fee.
$60/yr U.S. Residents
$75/yr International Residents

Click here to view institutional members.

One-Day Registration Rates:
$315 - Tuesday, March 3, 2009 only. Includes admission to the Tuesday Night Spectacular!
$275 - Wednesday, March 4, 2009 only
$180 - Thursday, March 5, 2009 only

($xxx.xx in U.S. dollars)

An invoice will be sent to you upon receipt of your registration. If you would like to pay by credit card, please call the Chair Academy at 480-461-6270.

Cancellation Policy

# of weeks before the conference	Substitutions	Cancellation fee
4-6 weeks (01/19/09 - 02/09/09) 3 weeks (2/09/08 - 02/13/09) Less than 3 weeks (after 02/13/09)	Yes Yes Yes	$75 $105 $195
If you need to completely cancel your registration, it is your responsibility to contact the Chair Academy in writing to do so. If the Chair Academy is not notified in writing of your cancellation and you do not attend, you will be charged the full amount.

Registrant Information:

Pre-Conference Workshops, Monday, March 2, 2009

Full Conference Registration, March 2-5, 2009

Cancellation Policy

By submitting this form you have read and agree to the cancellation policy. Please double check your information before submitting!