CSHA 2015 Annual Convention Registration - March 5-8, 2015

INSTRUCTIONS

Registration Options

THIS REGISTRATION IS FOR NON-MEMBERS ONLY


(Members please login to register)

Full (All 4 days) Convention Registration:

Pre-registration fee excludes "Additional Options/Fees" (view fees in the right column)
CHSA 2015 Member Dues are included with the 4 day Convention Registration, please submit a membership application by March 31, 2015 to become a member.
Non-Member - Professional - $460.00
Non-Member - Paraprofessional(SLPA) - $145.00
Non-Member - Student - $145.00

Two Day Convention Registration:

Pre-registration fee excludes "Additional Options/Fees" (view fees in the right column)
Non-Member - Professional - $380.00
Non-Member - Paraprofessional(SLPA) - $135.00
Non-Member - Student - $135.00
Registration Days For 2 Day Registration (Select Two)
 Thursday     Friday     Saturday     Sunday

One Day Convention Registration:

Pre-registration fee excludes "Additional Options/Fees" (view fees in the right column)
Non-Member - Professional - $305.00
Non-Member - Paraprofessional(SLPA) - $125.00
Non-Member - Student - $125.00
Registration Days For 1 Day Registration (Select One)
 Thursday     Friday     Saturday     Sunday

Additional Convention Registration Options:

Page Registration
Invited Speaker Registration
Ticketed Event Only Registration
 
  ADA. If you have a disability, as identified by the Americans with Disabilities Act, and anticipate needing assistance while at the Convention, please contact kduncan@csha.org by February 19th.
 

Additional Options/Fees:

Student Luncheon: (Friday)

Pre-ticketed Only, tickets are limited and will not be available for purchase onsite
Chicken Salad @ $20 each (numbers only)
 
Vegetarian/Gluten Free @ $20 each (numbers only)
 

Association Dinner: (Friday)

Pre-ticketed Only, tickets are limited and will not be available for purchase onsite
Chicken Tickets @ $65 each (numbers only)
 
Salmon Tickets @ $65 each (numbers only)
 
Vegetarian/Gluten Free Tickets @ $65 each (numbers only)
 

SLPA Luncheon: (Saturday)

Pre-ticketed Only, tickets are limited and will not be available for purchase onsite
Chicken Salad @ $20 each (numbers only)
 
Vegetarian/Gluten Free @ $20 each (numbers only)
 

Graduate Student Scholarship Fund

(numbers only)
 

PAC Donation

(numbers only)
 

Student Scholarship Fund

(numbers only)
 

Guest Badge:(List Name(s) below)

@ $10 each (numbers only)
 
Guest Name(s) @ $10 each
 

Convention Classes

Key: WS = Workshop, SC = Short Course, MS = Mini Seminar, PS = Poster Session, ILDS = Interactive Lecture Demo Session. Number in parentheses indicates number of CE hours: (.15 = 1 1/2 hrs)(.3 = 3 hrs) (.6 = 6hrs). Maximum number of State & ASHA CEUs attainable = up to 29.5 hours.
Please note: this selection process does not guarantee you a seat in the sessions. Seating at each session is based upon availability and is on a first come first serve basis. Your feedback will help us plan to have as much seating as possible in each session, based upon demand.

Thursday Classes

  MS1  8:30-10:00
  MS2  8:30-10:00
  MS3  8:30-10:00
  MS4  8:30-10:00
  SC1  8:30-11:30
  SC2  8:30-11:30
  SC3  8:30-11:30
  SC4  8:30-11:30
  SC6  8:30-11:30
  MS5  10:30-12:00
  MS6  10:30-12:00
  MS7  10:30-12:00
  MS8  12:00-1:30
  MS9  1:30-3:00
  MS10  1:30-3:00
  MS11  1:30-3:00
  MS12  1:30-3:00
  MS13  1:30-3:00
  SC7  1:30-4:30
  SC8  1:30-4:30
  SC39  1:30-4:30
  SC48  1:30-4:30
  SC10  1:30-4:30
  MS14  3:30-5:00
  MS15  3:30-5:00
  MS16  3:30-5:00
  Exhibit Hall Opening - 5:30-7:30

Friday Classes

  OPG/MS62  8:00-9:30
  MS17  10:00-11:30
  MS19  10:00-11:30
  MS20  10:00-11:30
  MS21  10:00-11:30
  MS22  10:00-11:30
  SC11  10:00-1:00
  SC12  10:00-1:00
  SC13  10:00-1:00
  SC14  10:00-1:00
  SC15  10:00-1:00
  SC16  10:00-1:00
  SC17  10:00-1:00
  LS1  12:00-1:30
  MS24  1:00-2:30
  MS26  1:00-2:30
  MS27  1:00-2:30
  MS28  1:00-2:30
  SC18  1:30-4:30
  SC19  1:30-4:30
  SC20  1:30-4:30
  SC21  1:30-4:30
  SC23  1:30-4:30
  SC25  1:30-4:30
  MS29  3:00-4:30
  MS30  3:00-4:30
  MS31  3:00-4:30
  MS32  3:00-4:30
  SR4  1:00-2:30
 District 1 Awards  5:30-6:30
 District 2 Awards  5:30-6:30
 District 3 Awards  5:30-6:30
 District 4 Awards  5:30-6:30
 District 5 Awards  5:30-6:30
 District 6 Awards  5:30-6:30
 District 7 Awards  5:30-6:30
 District 8 Awards  5:30-6:30
 District 9 Awards  5:30-6:30
 District 10 Awards  5:30-6:30

Saturday Classes

  MS35  8:30-10:00
  MS36  8:30-10:00
  MS61  8:30-10:00
  MS37  8:30-10:00
  SC26  8:30-11:30
  SC5  8:30-11:30
  SC27  8:30-11:30
  SC28  8:30-11:30
  SC29  8:30-11:30
  SC30  8:30-11:30
  SC31  8:30-11:30
  SC32  8:30-11:30
  SC33  8:30-11:30
  SC34  8:30-11:30
  MS38  10:30-12:00
  MS39  10:30-12:00
  MS40  10:30-12:00
  LS2  12:00-1:30
  MS41  10:30-12:00
  MS42  1:30-3:00
  MS43  1:30-3:00
  MS44  1:30-3:00
  MS45  1:30-3:00
  MS46  1:30-3:00
  MS47  1:30-3:00
  SC35  1:30-4:30
  SC36  1:30-4:30
  SC9  1:30-4:30
  SC37  1:30-4:30
  SC38  1:30-4:30
  SC40  1:30-4:30
  SC22  1:30-4:30
  MS49  3:30-5:00
  MS50  3:30-5:00
  MS51  3:30-5:00
  MS52  3:30-5:00
  MS53  3:30-5:00
  Pres. Reception  7:00-10:00

Sunday Classes

  MS54  8:30-10:00
  MS55  8:30-10:00
  MS56  8:30-10:00
  MS60  8:30-10:00
  SC42  8:30-11:30
  SC24  8:30-11:30
  SC43  8:30-11:30
  SC44  8:30-11:30
  SC45  8:30-11:30
  SC46  8:30-11:30
  SC47  8:30-11:30
  MS57  10:30-12:00
  MS58  10:30-12:00
  MS59  10:30-12:00

Registration Information:

First Name:
Last Name:
 
Address:
Address:
City:
State:
Zip:
 
Home Phone:
Work Phone:
Fax:
 
Email:

Registration Information: Cont.

Speech-Language Pathologist:
SLP License #:
Exp. Date:
 
Audiologist:
AUD License #:
Exp. Date:
 
Paraprofessional/SLPA:       Student:  
Workplace:
Comments:

REFUND POLICY: Written notice of cancellation must be received by Pre-reg deadline date. NO REFUNDS will be made after that time. A processing charge of $25.00 will be deducted from refund.