2013 URTA ANNUAL CONFERENCE Becoming Champions

Transcription

1 2013 URTA ANNUAL CONFERENCE Becoming Champions When: February 21-22, 2013 Where: Noah s Conference Center in South Jordan Keynote Speakers: Opening: Muffy Davis, Paralympic Gold Medalist: Never Give Up and Other Lessons Champions Know. Closing: Diane Skalko, ATRA President Plan on joining us for the Open House Thursday night *Invite a spouse, friend, or coworker *Dinner, Ice-skating, and other fun games! Please RSVP by returning your Registration form and payment!

2 2013 Conference Registration (Help us keep you as a URTA member by returning this form with membership fee.) Personal Information Name Date Street Address City Zip State County Phone Preferred Contact Address for ALL URTA business Facility Information Facility Name Clientele Street Address City State Zip Phone Fax If you are a CTRS and your facility accepts interns, please check here Are you currently Nationally Certified? YES NO (Students Only) University Name Course Instructor Circle One: F S J Sr Membership Selection (Please mark the box that applies but only pay membership fee if you will not be attending the URTA Conference.) Professional Member: MTRS TRS TRT $35 Supporting Member (not a licensed TR professional) $35 Full-Time Student $15 Not renewing membership this year because Please keep my contact information on file and inform me about the 2013 conference. Make Checks Payable to URTA and include with all other forms when mailing. **PLEASE RETURN THIS FORM WITH PAYMENT EVEN IF YOU ARE NOT ATTENDING THE CONFERENCE** Return to: Michele Beal, 63 East 1400 South, Bountiful, UT 84010

3 2013 Conference Registration: The 2013 annual conference will provide the opportunity to earn 1.0 CEU credits. The Country Inn & Suites is located less than a mile away and rooms may be reserved for $85/night. Full Conference This year s full conference tuition includes the following: four meals (lunch and dinner on Thursday, breakfast and lunch on Friday), your 2013 URTA Membership, two days of networking and educational opportunities, a party on Thursday, and NEW this year- your CEU s are included in the price of the conference. This year s business meeting will be held during Thursday s luncheon and the Awards Ceremony will be held during Friday s Luncheon. Early Bird Postmarked by At Door 1/18/2013 2/8/2013 TRS/MTRS $ $ $ $ TRT/Paraprofessional $ $ $ $ Student (undergrad) $ $90.00 $ $ One Day Attendance -Includes URTA Membership, meals for that day, URTA education sessions and CEU s. Early Bird TRS/MTRS/TRT/Para TRS/MTRS/TRT/Para by 2/8/13 At Door TRS/MTRS/TRT/Para Thurs. 2/21/13 (8:00am-10:00pm) $ $ $ $ Friday 2/22/13 (8:00am-5:30pm) $ $ $ $ Student Flat Rate Limited student volunteer openings available on a first come basis. Contact your URTA student representative to sign up. Thurs. 2/21/13 (8:00am-10:00pm) $60.00 $ Friday 2/22/13 (8:00am-5:30pm) $40.00 $ Additional Items: For the purpose of meal counts, which meals do you plan on attending? Please circle all that apply Thurs. Awards Lunch Thurs. Dinner Fri. Breakfast Fri. Lunch Are you Vegetarian Yes No Food Allergies Extra Award Luncheon Tickets (noon on Friday) $25.00 each Quantity $ GRAND TOTAL AMOUNT INCLUDED WITH REGISTRATION FORM $ Make check payable to URTA - mail to Michele Beal, 63 E S., Bountiful, UT For conference questions please contact Conference Chair Laura Bennion lbsnowboard@gmail.com

4 Student Volunteer Form 2013 URTA Annual Conference Personal Information: Name: Date: Street Address: City: State: Zip: Phone: Preferred Address for All URTA business University Name: Course Instructor: Circle One: F S J SR Volunteer Options: It is required that student volunteers commit to attending one full day of the conference. Please check the area(s) you would like to volunteer. The day and area(s) requested are not guaranteed. Thursday February 21 st : Registration (7:30 a.m.) Sales / Vending CEU Classes Evening CEU Classes (7:00 p.m.) Friday February 22 nd : Registration (7:30 a.m.) Sales / Vending CEU Classes Conference Wrap-up (5:30 p.m.)

5 2013 Conference Registration Options: Price Full Conference: Includes 2013 URTA membership fee, four meals (lunch and dinner on Thursday, breakfast and lunch on Friday), & URTA education sessions. Full Conference $60.00 $ One Day Attendance: Includes 2010 URTA membership fee, meals for that day, & URTA Education sessions Thursday 2/21/13 (8:00am 10:00pm) $35.00 $ Friday 2/22/13 (8:00am 5:30pm) $35.00 $ GRAND TOTAL: $ Make check payable to URTA Return this form with payment to your student representative by January 18, 2013

6 Allied Health Professionals Form 2013 URTA Annual Conference The 2013 annual conference will provide the opportunity to earn 1.0 CEU credits. The Country Inn & Suites is located less than a mile away and rooms may be reserved for $85/night. Full Conference This year s full conference tuition includes the following: four meals (lunch and dinner on Thursday, breakfast and lunch on Friday), your 2013 URTA Membership, two days of networking and educational opportunities, a party on Thursday, and CEU s. This year s business meeting will be held during Thursday s luncheon and the Awards Ceremony will be held during Friday s Luncheon. Name Licensure Postmarked by At Door 2/8/13 Allied Health Professional $ $ $ One Day Attendance Includes URTA Membership, meals for that day, CEU s, and URTA education sessions Postmarked by 2/8/13 At Door Thurs. 2/21/13 (8:00am-10:00pm) $ $ $ Friday 2/22/13 (8:00am-5:30pm) $ $ $ Additional Items: For the purpose of meal counts, which meals do you plan on attending? Please circle all that apply Thurs. Awards Lunch Thurs. Dinner Fri. Breakfast Fri. Lunch Are you Vegetarian Yes No Food Allergies Extra Award Luncheon Tickets (noon on Friday) $25.00 each Quantity $ GRAND TOTAL AMOUNT INCLUDED WITH REGISTRATION FORM $ Make check payable to URTA - mail to Michele Beal, 63 E S., Bountiful, UT For conference questions please contact Conference Chair Laura Bennion lbsnowboard@gmail.com Make Checks Payable to URTA and include with all other forms when mailing.

7 Award Nominations Do you know a professional or program that has made a significant contribution to the field of Therapeutic Recreation? Nominate them today! Each award recipient will receive recognition at the annual URTA awards banquet held during our Feb conference. The categories include: Outstanding member: This recognition is for a URTA member who has made a significant contribution during the past year by promoting the profession, practice, and philosophy of Recreation Therapy. Distinguished service: This award is for an individual who has helped the profession of Recreation Therapy grow through a lifetime of commitment and service. Outstanding program: This award is for an individual, group, or institution which has developed a TR program to improve the quality of life of the clients served. Criteria may include longevity, communication of ideas to others, professionalism and the education and enhancement of those involved. Community service: This award recognizes an individual who has helped and promoted Recreation Therapy although he or she is not a Recreation Therapist. This may have been done through volunteerism, legislative or policy support, offering programs, or other significant contribution. See following page for nomination form.

8 Award Nomination Form Please mail nomination form to Michele Beal 63 E S. Bountiful, UT by no later than January 16 th. Nomination #1 I would like to nominate Award category Nominee contact info: (phone # and address) Why this person/program should be considered for recognition Nomination #2 I would like to nominate Award category Nominee contact info: (phone # and address) Why this person/program should be considered for recognition Nominator: Nominator phone/

9 URTA Board of Directors Nomination Form To qualify for this position the person must be a licensed Recreation Therapist in the State of Utah and have been a member of URTA for a minimum of 3 years. Please check with the person you are nominating before you nominate them as this is a 3 year commitment and we need someone who is willing to do this the full time. Nominee: Nominator: Contact info for Nominee: Contact info for Nominator: Reasons you feel this person would make a good Director for URTA: Please return this form to Michele Beal at: 63 E S. Bountiful,UT 84010