moving forward together registration 2014.v2

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Moving Forward Together Workshop Registration Wed., May 21 st and Thurs., May 22 nd 2014, 9:30am to 4:00pm Workshop Overview This workshop series is offered and hosted by a partnership of Shuswap and area organizations and communities. It will be facilitated by Donnella Sellars, Fraser Basin Council, and members of the MFT Steering Committee. Light breakfasts, lunches and snacks are included in the fee. It will be held at Adams Lake Recreation & Conference Centre from 9:30am to 4:00pm on both days. Workshop Fees: ~Early Bird two day fee is $80.00 to Friday, May 9 th 2014 ~After May 9 th , the two day fee is $100.00 ~We encourage attendance on both days but will accept one day registrations at a fee of $50.00 ~ Registration and payment deadline is Monday, May 21st It’s Easy! Print and fill in the registration information section of form, make a copy for yourself, then: Pay by cheque or cash to: Adams Lake Indian Band (Moving Forward Together 2014 in memo line please) Mail to: Adams Lake Indian Band, P.O. Box 588 Chase, B.C. V0E 1M0 Go to: Adams Lake Indian Reserve (Chase, B.C.) Phone: 250-679-3515 Email: [email protected] about any registration details Want to put payment for more than one participant on a single cheque? Please send multiple registration forms so that we will have names and contact information for all, then make a notation on each registration form regarding who is making total payment. (Don’t forget to make copies of all registrations for yourself!) For more information about workshop content you may contact: ~ Craig Duckchief, Adams Lake Indian Band … 250-679-8841 [email protected] ~ Janet McClean Senft, Shuswap Community Resources Co-op … 250-836-3440 [email protected] ~ Dorothy Argent, Aloka Consulting … 250-832-7574 [email protected] ~ Bonnie Thomas, Switzmalph Cultural Society … 250-463-1855 [email protected] ~May need financial support to attend? Call Janet McClean Senft at 250-836-3440 (Sicamous) Space is limited. Register early to avoid disappointment. Thanks so much!

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Page 1: Moving Forward Together Registration 2014.v2

Moving Forward Together Workshop Registration Wed., May 21st and Thurs., May 22nd 2014,

9:30am to 4:00pm Workshop Overview This workshop series is offered and hosted by a partnership of Shuswap and area organizations and communities. It will be facilitated by Donnella Sellars, Fraser Basin Council, and members of the MFT Steering Committee. Light breakfasts, lunches and snacks are included in the fee. It will be held at Adams Lake Recreation & Conference Centre from 9:30am to 4:00pm on both days.

Workshop Fees: ~Early Bird two day fee is $80.00 to Friday, May 9th 2014 ~After May 9th, the two day fee is $100.00 ~We encourage attendance on both days but will accept one day registrations at a fee of $50.00 ~ Registration and payment deadline is Monday, May 21st It’s Easy! Print and fill in the registration information section of form, make a copy for yourself, then: Pay by cheque or cash to: Adams Lake Indian Band (Moving Forward Together 2014 in memo line please) Mail to: Adams Lake Indian Band, P.O. Box 588 Chase, B.C. V0E 1M0 Go to: Adams Lake Indian Reserve (Chase, B.C.) Phone: 250-679-3515 Email: [email protected] about any registration details Want to put payment for more than one participant on a single cheque? Please send multiple registration forms so that we will have names and contact information for all, then make a notation on each registration form regarding who is making total payment. (Don’t forget to make copies of all registrations for yourself!) For more information about workshop content you may contact: ~ Craig Duckchief, Adams Lake Indian Band … 250-679-8841 [email protected] ~ Janet McClean Senft, Shuswap Community Resources Co-op … 250-836-3440 [email protected] ~ Dorothy Argent, Aloka Consulting … 250-832-7574 [email protected] ~ Bonnie Thomas, Switzmalph Cultural Society … 250-463-1855 [email protected] ~May need financial support to attend? Call Janet McClean Senft at 250-836-3440 (Sicamous)

Space is limited. Register early to avoid disappointment. Thanks so much!

Page 2: Moving Forward Together Registration 2014.v2

Moving Forward Together Workshop Registration

Wed., May 21st and Thurs., May 22nd 2014, 9:30am to 4:00pm Full Name: ______________________________________________________________________ Attending on behalf of: (if applicable)________________________________________________ Phone and/or cell number: _________________________________________________________ Mailing Address: _________________________________________________________________ ________________________________________________________________________________ Email:__________________________________________________________________________ Attending both days? Y ( ) N ( )

If you selected ‘N’ please indicate which day you will be attending day 1 or day 2 Payment: Cash ( ) Cheque ( ) Other payment arrangement? Please describe:________________________________________ ~May need financial support to attend? Call Janet McClean Senft at 250-836-3440 (Sicamous) Any dietary restrictions? Please describe:____________________________________________ PERMISSIONS: May we add your name/contact to master list? Y ( ) N ( ) We will be taking photos and/or video of this event. Do you consent to your name and/or image being published, reproduced and otherwise used in relationship to the event by the event organizers and/or facilitators for instruction, art, education, promotion or any lawful purpose? Y ( ) N ( ) DIRECTIONS TO ADAMS LAKE CENTRE: From the east, turn left off # 1 into Chase at Chase West Rd entrance and follow Chase W./Shuswap Ave. to Pine Street (close to down town) Turn left on Pine Street and follow until you are over the bridge. Take the second right onto Village Rd and then immediate left onto Chief Jules Drive. The Centre is just past Chief Atahm School. From the west, turn left off #1 into Chase at Shuswap Ave. entrance and follow to Pine Street. Take a right onto Pine St and then follow Pine St. directions above. Interested in sharing transportation, being bussed, or will need transportation to the event? Y ( ) N ( ) We will contact those that have indicated an interest or need.

* Please note that if you selected ‘Y’, we will share your contact info withparticipants that you can potentially be paired with for the purpose of transportation sharing.

Page 3: Moving Forward Together Registration 2014.v2

Want to stay in Chase overnight? These great hotels, all within a few minutes drive to the workshop site, are offering special rates for our participants. Just ask for the Moving Forward Together workshop rate. Quaaout Lodge: Stephan Witmore Address: 1663 Little Shuswap Rd, Chase, BC V0E 1M2 Phone:(250) 679-3090

- 25 room blocked (held until May 9th) - $127.00 + tax, standard room dbl occupancy

Chase Country Inn Address: 576 Coburn St, Chase, BC V0E 1M0 Phone:(250) 679-3333

- $59.00 + tax, for 1 person with one bed - $69.00 + tax, for 2 people with one bed - $79.00 + tax, for 2 people with two beds

Overlander Motel Address: 181 Shuswap Ave, Chase, BC V0E 1M0 Phone:(250) 679-8633

- $65.00 + tax, for 1 person with one bed - $70.00 + tax, for 2 people, with one bed - $75.00 + tax, for 2 people, with two beds

No pets and No Smoking