Name: VAAP Member #: Title:
Facility:
Work Address:
City: State: Zip Code:
Work Phone: Work Email:

Home Address:
City: State: Zip Code:
Home Phone: Home Email:

Please make sure email addresses are provided and printed clearly.  VAAP is moving towards more information sharing with members via email. Emails will only be used for official VAAP business.
Join VAAP now and qualify for the membership discount for the Conference. Membership application can be found here

Registration Fees: (check appropriate boxes)
Includes continental breakfasts, breaks and lunches. Dinners on your own.
Registration (postmarked by3/01/12)	Late Registration (postmarked after 3/01/12)
2012 VAAP Member $275.00 Non VAAP Member $375.00	2012 VAAP Member $325.00 Non VAAP Member $400.00
CEUs
CEU’s (only needed if CTRS)  $15.00
Daily Registrations
Wednesday Only	Thursday Only
2012 VAAP Member $150.00 Non VAAP Member $200.00	2012 VAAP Member $150.00 Non VAAP Member $200.00
Friday Only
2012 VAAP Member $150.00 NonVAAP Member $200.00
Guest Meals ($50 per day) (includes continental breakfast, lunch and breaks) per Guest.  Payment for guest meals will only be accepted at the registration desk at the conference.
Special Considerations Needed: (must be submitted w/ registration Dietary Needs (food allergies, vegetarian, etc.): Accessibility Needs (be specific): Accessibility Needs:
TOTAL ENCLOSED $
Payment Methods:
When paying by Check, make checks payable to VAAP
Mail to: Jo Tice, CTRS, 8041 Fallbrooke Drive Richmond, VA 23235
Signature:
	VAAP Tax ID #54-1381140
*Registration and payment online at www.vaaponline.org. Please print a copy for your records and bring to the conference.*
No cancellation refunds will be given after March 1, 2012, but substitutions are allowed. All cancellations are subject to a $50 processing fee . Returned checks are subject to a $50 service charge. Questions Regarding Registration or Conference Contact: Lisa Mullen, ADC Conference Co-Chair 804-965-2155, Work 804-741-3993 Home Lisa@meadowglen.net LWMullen@comcast.net or Chris Bryan, ADC Conference Co-Chair 804-521-7542 Work, 804-241-1380 Home cbryan@lexingtoncourt.net chrslvangels@msn.com
2012 VAAP Conference  VAAP 33nd CONFERENCE "ACTING THE PART" MARCH 21-23, 2011 RICHMOND, VIRGINIA Please assist the conference committee in preparing appropriate classroom spaces by indicating below your intended sessions and times. Please return with your conference registration.
Wednesday, March 21         Session A 8:00-9:30 Session B 9:45-11:15 Session C 12:45-2:00 Session D 2:15-3:45 Session E 4:00-5:30         A1 A2 A3 A4 A5 B1 B2 B3 B4 B5 C1 D1 D2 D3 D4 D5 E1 E2 E3 E4 E5 Thursday, March 22 Session F 8:00-9:30 Session G 9:45-11:15 Session H 12:45-2:00 Session I 2:15-3:45 Session J 4:00-5:30         F1 F2 F3 F4 F5 G1 G2 G3 G4 G5 H1 I1 I2 I3 I4 I5 J1 J2 J3 J4 J5 Friday, March 23 Session K 8:00-9:30 Session L 9:45-11:15 Session M 12:45-2:00               K1 K2 K3 K4 K5 L1 L2 L3 L4 L5 M1                 Payments Processed through Paypal