2001 OHIO CAMPING CONFERENCE
On-Line Registration
Thursday, January 25, 2001
Fawcett Center - Columbus, Ohio
(map and directions)
Hint: Move your cursor to the inside of each box, then click, then start typing. When you're done typing inside the box, DON'T press the ENTER key, just move your cursor to the next box (pressing the TAB key will also work). Pressing the ENTER key is the same as clicking on the "Send Info" button at the bottom, and it may send off this form for processing before you're done completing it.

PLEASE COMPLETE INFORMATION IN **ALL** THE BOXES SO THAT THIS FORM CAN BE PROCESSED SUCCESSFULLY. ENTER "N/A" IF NO INFORMATION AVAILABLE.

Name (as it should appear on badge)
 E-Mail Address
 Individual ACA #
Title / Occupation
 Camp / Agency / Organization
Address
City, State and Zip (+4, if known)
 Phone w/ Area Code
Please Select One....
Home Address School Address
Work Address Misc. Address

IF YOU ARE NOT AN ACA/CCI MEMBER BUT ARE AFFILIATED WITH AN ACA/CCI CAMP, PLEASE FILL OUT THE FOLLOWING INFORMATION TO RECEIVE A REDUCED RATE:

Camp ACA/CCI Number:
 Director's Name

Although the following selections are not binding, please select your preferences for which sessions you'd like to attend, so we can get an idea of attendance and optimal room size. Thanks.

10:45 AM to Noon
1:45 PM to 3:00 PM
3:15 PM to 4:30 PM

Comments? Questions?

Please type in any additional comments or questions below:

This will compile the above info and send it via e-mail message to the Section Executive and the Chair of the Education Committee.
This will clear all the above info entered so you can start over.