Freedom Service Dogs Logo

Assistance Dogs International 2009 Trainers Conference

Estes Park, Colorado October 4 - 6, 2009

REGISTRATION FORM

Hosted By:
Freedom Service Dogs, Inc.
2000 W. Union Avenue
Englewood, CO 80110
Phone: 303-922-6231 Fax: 303-922-6234
E-mail: ADIconf@freedomservicedogs.org
Registration Coordinator: Susan Hillson

Save $50 - Early registration ends June 30, 2009!!
Registrations sent after July 1, 2009 - add $50 late fee
Registration deadline is August 31, 2009 (no refunds after this date)


Please complete one form per person.

Organization Name:

Name:

Title:

Street Address:


City:

State:

Zip:

Phone:

E-Mail:


T-Shirt (XS to XXL):


Room & Meals (Lodging Sunday, Oct. 4th & Monday Oct 5th, 3 meals Monday and 2 meals Tuesday)

Shared Room & 5 meals ($250 total). Name of preferred Roommate:
Private Room & 5 meals (limited availability, $330 total) - A friend or family member who is not
     attending the conference may share your room for additional $95 for both nights.
I'm bringing a dog (2 & 3 bedroom cabins will be shared by service dogs & their trainers)

For pre-conference (Oct. 2-3) and post-conference (Oct. 6) room reservations only, call hotel directly. Request the special rate of $159 ($79.50 each if sharing with roommate), which includes breakfast. See brochure for more info.

Please note any special dietary or accessibility needs:


Transportation (group shuttle service):
I need transportation round trip between Denver International Airport (DIA) to Estes Park ($70 round trip)

Flight number and DIA arrival time, if known:
Flight number and DIA departure time, if known:
*If not yet known, information must be provided by Aug. 31st

Cell Phone # (for coordination at airport if necessary)

I would like to stop at the Freedom Service Dogs facility for a tour on the way from DIA to Estes Park. Amount of interest will help us determine if the tour will be scheduled. See brochure for hotel van service in the Estes Park area.

STEP TWO - Press button below to submit form.


*IMPORTANT*! You must return to this page following completion of STEP ONE - PayPal Transaction in order to complete STEP TWO - Submit Registration Form

STEP ONE - Make purchase choices and pay securely online with PayPal. PayPal accepts credit cards.

Book Orders: Temple Grandin will be available for book signing after her presentation!

$17 - Animals Make Us Human by Temple Grandin & Catherine Johnson
$10 - Animals in Translation by Temple Grandin & Catherine Johnson
$10 - Thinking in Pictures by Temple Grandin Book Orders - Select all that apply. Quanitites may be selected in the PayPal Shopping Cart.

Registration & Airport Shuttle Payments

$250 - Shared room and all meals
$330 - Private room and all meals
$50 - LATE REGISTRATION FEE on or after July 1, 2009
$95 - Friend/family member addition to private room & meals (2 conference days)
$70 - Airport/Conference round-trip group shuttle transportation

Book Orders - Select all that apply. Quantities may be chaged in the PayPal Shopping Cart.

Registration & Airport Shuttle Payments - Select all that apply. Quantities may be selected in the PayPal Shopping Cart.

*IMPORTANT*! You must return to this page following completion of STEP ONE - PayPal Transaction in order to complete STEP TWO - Submit Registration Form