Participants Must Be 18 and Registered for the Conference to Attend Sessions and Other

Registration Form for the 50th and FinalCamp Caesar Conference Friday, May 18 * Saturday, * May 19, and Sunday May 20, 2018

Participants must be 18 and registered for the conference to attend sessions and other activities

Name______Name for name tag______

Payment by - ____Personal Check ____School/Organization Check ____P O

M or F I have attended ______years. I am registering for WVU credit. Yes or No

Email (required for confirmation)______State ______County ( WV only) ______Phone ______

Position/title______School/Organization ______

REGISTRATION FOR THIS 50TH AND FINAL CONFERENCE IS LIMITIED TO 200.

EARLY BIRD REGISTRATION–This form must be accompanied by check, or PO for $200.

REGISTRATION- (after March 1) THIS form must be accompanied by check, or PO for $225made payable to WVAEPE and mailed by May 1st

AFTER May 10th, you must register on-site (cost $250) REGISTRATION IS LIMITED.

CANCELLATIONS AFTER May 10 ARE TRANSFERABLE, BUT NOT REFUNDABLE.

HOUSING: We have Male and Female cabins. No couples housing is available. Space is limited.

_____ No housing required. _____ I am tent/trailer camping at Camp Caesar.

_____ I am staying in a cabin at Camp Caesar. Cabin request ______Roommate request ______

Registration forms requesting more than 2 of the same roommates must be mailed in the same envelope. (Limit 5)

Caesar 2018 - 3 hours Grad. credit available from WVU. Each conference is a separate class and therefore may be taken multiple times for credit. Graduate credit requires that you must be present at each scheduled activity from 7:00 Friday night, through 12:00, Sunday morning.

WVU credit questions - Suzy Summers

To register for the conference, send this completed form and payment to:

WVAEPE c/o Nancy LeFevre 311 Gilchrist Drive St. Albans, WV 25177 Registration and other questions – Nancy LeFevre –

If you have attended this conference before – please share the following information with us –

Most memorable: activity______, presentation______,

presenter______, Other ______

List any awards you have received at this conference ______

Release from Liability

Please read the following paragraph, print on the line, and sign and date at the bottom.In consideration of the acceptance of this application, I ______waive all rights and claims for damages that I , or my heirs, may have against the West Virginia Association of Elementary Physical Education (WVAEPE) or their representatives and assignees. I attest that I am physically fit and have trained for the events in this conference.

SIGNATURE ______DATE______