Greater Texas Community Partners
13th Annual Conference
Co-Sponsored by the
Texas Council of Child Welfare Boards

October 4, 5, and 6, 2009
Austin, Texas

DoubleTree Hotel

Honorary Chair
Former First Lady, Laura Bush

Come hear our Keynote speakers:
Ruby K. Payne, Ph. D., Monday, October 5 at 8:30am
Liz Murray, Tuesday, October 6 at 10:30am

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PRINT THIS PAGE ONLY IF YOU DO NOT WISH TO REGISTER ONLINE.

Please type or print clearly.

Name                                                                                                            

Group or Organization                                                                                  

Mailing Address                                                                                             

City, State, Zip                                                                                               

Daytime phone                                     Fax                                                   

E mail                                                                                                            

CEU Credit Requested:  (   )Yes    (  )No

Please check one:
(  ) Volunteer   (  ) CPC   (  ) CIS   (  ) CPS staff    (  ) Board Chair   (  ) Board Member  
(  ) Speaker    (  ) Workshop Presenter   (  ) Child Welfare Board   (  ) GTCP
(  ) Other ___________________

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Please select a conference package

Full 2 1/2 Day Conference fee includes: Sunday Evening Reception 6:00 p.m. (Please RSVP below) Monday & Tuesday Continental Breakfast Monday Luncheon Monday Afternoon Snacks Monday Dinner of Stars 7:15 p.m. (Please RSVP below) All General Sessions, Choice from 17 Workshops and 2 Special Speakers [  ] $200.00 (Early registration before September 15, 2009) [  ] $250.00 (Standard registration after September 15, 2009) Please RSVP for events as applicable: 4-5:30pm Sunday, October 4   [  ] Community Initiative Specialists Meeting   [  ] Community Partners Coordinators Meeting   [  ] Executive Directors, Rainbow Room Coordinators, Board Presidents, Decision Makers, Discussion on Purchasing Partnerships products & needs, delivery, and new ideas 6-8pm Sunday, October 4   [  ] Sunday Evening Reception 6-8pm 7:15-9:30pm Monday, October 5   [  ] Dinner of Stars – Awards for GTCP and TCCWB

CEU Credits [  ]  $20.00 Processing Fee

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or indicate your attendance by event:

October 4: Sunday, Evening 6:00 p.m. Opening Reception [  ] $30.00

October 5: Monday, 7:30-8:30 a.m. Continental Breakfast [  ] $20.00

October 5: Monday, 8:30am Opening Keynote Speaker - Dr. Ruby Payne [  ] $30.00

October 5: Monday, 12pm Luncheon Speaker - Audrey Deckinga, Assistant CPS Commissioner [  ] $30.00

October 5: Monday, Evening 7:15pm “Dinner of the Stars” [  ] $60.00

October 6: Tuesday, 7:30-8:30 a.m. Continental Breakfast [  ] $20.00

October 6: Tuesday, 10:30 a.m. Closing Keynote Speaker—Liz Murray [  ] $30.00

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Payable by:  (  ) State Voucher   (  ) Visa  (   ) Mastercard  (   ) Check

Account #                                                                                                         

Name on Card                                                                                                  

Expiration Date                                           

Checks payable to "Greater Texas Community Partners"

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To complete your registration you must:
1) Enclose a check for the amount below
            - or -
     enclose your vouchers.
2) Mail check or vouchers and a copy of these pages to
     GTCP office (address below).

FAX/Mail To:
Greater Texas Community Partners
2801 Swiss Avenue, Suite 110
Dallas , TX 75204
FAX: 214-515-0382