Gold Level Sponsor $3,000 and up

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1 Academy of Geriatric Physical Therapy CSM 2019 SPONSORSHIP RECOGNITION To reserve your place as a sponsor, return the form on page 6 today! Sponsorships are first-come, first-reserved. On pages 2-4 of this document, we have listed the sponsorship opportunities available to you at the Combined Sections Meeting in Washington DC in January Once you secure your space as a sponsor of one or several of our courses or events, you will be recognized as a gold, sliver or bronze-level sponsor depending on the total value of your contributions. Sponsorships with the Academy of Geriatric Physical Therapy really increase your exposure at the Combined Sections Meeting. We look forward to working with you! Gold Level Sponsor $3,000 and up

2 Name, web address, and booth number printed on the Academy materials as a Gold Level sponsor. We will strongly encourage attendees to visit your booth and thank you for your sponsorship. We will mention your company and booth number in an to Academy members who are registered for CSM prior to the conference. Proud Gold Level Sponsor sign for your booth: our members will look for this! Thank-you board outside program room Announcement by the meeting facilitator thanking your company for being a Gold-Level sponsor. Academy of Geriatric Physical Therapy Sponsor ribbon for badge One full-page ad in future GeriNotes publication Silver Level Sponsor $1,500 and up Name, web address, and booth number printed on the Academy materials as a Silver Level sponsor. We will encourage attendees to visit your booth and thank you for your sponsorship. Proud Silver Level Sponsor sign for your booth: our members will look for this! Thank-you board outside program room Announcement by the meeting facilitator thanking your company for being a Silver-Level sponsor. Academy of Geriatric Physical Therapy Sponsor ribbon for badge One half-page ad in future GeriNotes publication Bronze Level Sponsor and up Name and booth number printed on Academy materials as a Bronze Level sponsor. We will encourage attendees to visit your booth and thank you for your sponsorship. Academy of Geriatric Physical Therapy Sponsor ribbon for badge Thank-you board outside program room Mention in GeriNotes publication. Please note: your sponsorships add up for example, if your company sponsors three courses for a total of $1,500, you will be recognized as a Silver-level sponsor. Preconference Courses Tuesday and Wednesday, January Session title, date and time Session Details Sponsorship Level Tuesday, January 22 and Speaker: Wednesday, January 23 Kristi Hallisy, PT, DSc Tai Chi Fundamentals Adapted Program, Part 1: Basic Moves Training 8am 5:30pm both days $3,000 Sponsorship of entire course. Comes with two free registrations.

3 Wednesday, January 23 Applying a Comprehensive Approach to Successful Aging 8am 5pm Wednesday, January 23 Kyphosis Management: Manual Exercise and Interventions 8am 5:30pm Jamie Lowy, MSPT; Ken Miller, PT, DPT; Myla Quiben, PT, DPT, PhD, MS; Catherine Siengsukon, PT, PhD; Mariana Wingood, DPT Speaker: Carleen Lindsay, PT, MS $1,500 Sponsorship of entire course. Comes with one free registration. $1,500 Sponsorship of entire course. Comes with one free registration. Regular Programming- Thursday, January 24 Session title and time Session Details Sponsorship Level Thursday, January 24 Breakfast of Champions 6:30am - 9am This is a celebration of new Geriatric Clinical Specialists, AGPT Award Winners and will also include the inaugural Lectureship. All members are welcome to attend. Hot breakfast will be served. $6,000 Fall Prevention for Older Adults with Amputation Sheila Clemens, MPT, PhD; Chris Doerger, PT; Carol Miller, PT, PhD Health Promotion and Wellness SIG Meeting 10am-11am Platform Presentations: Session 1 Support the presentation of outstanding research by sponsoring this session! Put the Fast Back into Fast Twitch: Adding Power to the Plan for Older Adults Protect Your License: What Every Therapist Needs to Know Improving Community Ambulation After Hip Fracture Weight Loss, Protein, and Other Macronutrients: At PTs Guide to Older Adults Academy of Geriatric Physical Therapy Member s Meeting 6:30pm-9pm Melissa Bednarek, PT, DPT, PhD; James Eng, PT, DPT, MS; Jason Woollard, PT, PhD Ellen Strunk, PT, MS; Jaclyn Warshauer, PT Rebecca Craik, PT, PhD; Richard Fortinsky, PhD; Jay Magaziner, PhD; Kathleen Mangione, PT, PhD, FAPTA Odessa Addison, DPT, PhD; Monica Serra, PhD, RD A gathering of our Board of Directors and members to discuss ideas for the future of the Academy. Sponsor name will appear on the agenda and be recognized at the meeting. $3,000 (can be cosponsors for this)

4 Regular Programming- Friday, January 25 Session title and time Session Details Sponsorship Platform Presentations: Session 2 Support the presentation of outstanding research by sponsoring this session! Level It s a WAMI-3! Application of a Wellness Aging Model Geriatric Low Back Pain: Managing Influences, Experiences and Consequences Upstream Home Care Services: Why Wait Until a Person is Homebound to Intervene The Movement System: Application in Aging Adults Across Clinical Settings Residency/Fellowship Special Interest Group Meeting 2pm-3pm Global Health SIG Meeting 2pm-3pm Geriatric Concussion: What Do We Know? What Do We Need to Know? Geriatric Posture and Movement Analysis: Assessment to Treatment Cognitive and Mental Health SIG Meeting 4pm-5pm Melissa Bednarek, PT, DPT, PhD; Barbara Billek-Sawhney, PT, DPT, EdD; Raj Sawhney, PT, DPT, MS; Michelle Criss, PT, DPT; Mariana Wingood, DPT Gregory Hicks, PT, PhD; Corey Simon, DPT, PhD Sara Arena, PT, MS, DscPT; Chris Wilson, PT, DPT, DScPT Kathleen Mangione, PT, PhD, FAPTA; Myla Quiben, PT, DPT, PhD, MS; Patricia Scheets, PT, DPT, MHS Karen McCulloch, PT, MS, PhD; Mary Beth Osborne, PT, DPT Speaker: Robin Schroeder, PT, DPT Regular Programming- Saturday, January 26 Session title and time Session Details Sponsorship Level Bone Health SIG Meeting 7am-8am Interprofessional Cognitive Care Delivery and the Role of the Physical Therapy Dawn Bookshar, PT, DPT; Jennifer Sidelinker, PT, DPT

5 Growing Older, Getting Fitter: Aerobic Exercise in Aging and Chronic Stroke Balance and Falls Special Interest Group Meeting 2pm-3pm Exercise Dosing: Strengthening Value and Outcomes for the Boomer-Plus Generation Interprofessional Pain Management for Older Adults with Cognitive Impairment Perturbation Training for Falls: Inception to Clinical Translation Evidence-Based Documents in Geriatric Physical Therapy Chitra Balasubramanian, PT, PhD; Sherry Pinkstaff, PhD; CE Robinson, DPT Karen Berg, PT; Donna Diedrich, PT, DPT; Christine Herzinger, PT, MBA; Lawrence Jaffe, PT, DPT Mary Beth Bisinger, OTRL; Jordan Bowman, MA, CCC-SLP; Sarah Townsend-Grant, PT, DPT Tanvi Bhatt, PhD; Louis Depasquale, PT, MA; Debbie Espy, PhD Keith Avin, DPT, PhD; Matt Elrod, PT, DPT, Med; Timothy Hanke, PT, PhD; Christine McDonough, PT, PhD; Kathryn Roach, PT, PhD

6 Fax this form to: 608/ or to Academy of Geriatric Physical Therapy Sponsorship Reservation Form This contract states your intent to sponsor the Academy of Geriatric Physical Therapy at the Combined Sections Meeting If you are the first company to return this fax requesting sponsorship of a particular session or social, we will send you a confirmation stating that the session or social that you wish to sponsor will be reserved for your company. We will only accept one sponsor per session or social, excepting the Breakfast and the Member s Meeting, for which we will accept two sponsors. Name of Company: Contact Person: Contact Person s Phone Number Contact Person s I request that you reserve sponsorship of the following session/social for my company. I understand that I should receive confirmation within one week. If our sponsorship is accepted, I agree to sponsor the following session/social. Title of Session or Social: Signature: Date: ~or~ I pledge the following amount for general sponsorship of the Academy of Geriatric Physical Therapy at the Combined Sections Meeting 2019: Signature: Date: We appreciate receiving this form prior to January 2, 2019 so that we may order signs to recognize your company. Please feel free to contact us with any questions: Academy of Geriatric Physical Therapy 3510 East Washington Ave, Madison, WI / Karen.curran@geriatricspt.org

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