Page 18 - Fall2020

WISE TRADITIONS 2020 REGISTRATION FORM

First Name Last Name Name for Badge
____________________________________________________________________________________________________________
Organization/Affiliation
____________________________________________________________________________________________________________
Address r This is my first Wise Traditions conference.
____________________________________________________________________________________________________________
City State Zip Code Country
____________________________________________________________________________________________________________
Phone Email r Check here if you are interested in donating food.
____________________________________________________________________________________________________________
r Check here to reserve gluten- & casein-free conference meals. OR r Gluten-free only. OR r Casein-free only. Register for GF and/or CF children's meals below.
DISCOUNTED MEMBERSHIP: become a member of the Foundation while registering and receive a discount. HOTEL
r $30 US Annual Membership (regularly $40) r $40 Canadian/International (regularly $50) Sheraton Atlanta Hotel
(800) 833-8624 * $139/night
FULL REGISTRATION* includes conference materials, Friday sessions, lunch and dinner, Saturday sessions, Mention: Wise Traditions Conference
lunch and Awards Banquet, Sunday sessions and brunch (except for no-meal option). Does not include Monday.
THREE DAYS By Sept 20 After Sept 20 FOUR WAYS TO REGISTER:
r Full Registration (Includes lunch each day, dinner Fri & Sat) $440 $465 1. ONLINE wisetraditions.org
r Full Registration 20 and under* (sessions & 5 meals) $250 $250 2. PHONE (703) 820-3333
r Full Registration No-Meal Option (meals not included) $340 $365
r Full Registration 20 and under* (meals not included) $150 $150 3. FAX (571) 777-8932
r Full Registration 20 and under* (lunch ONLY) $200 $200 4. MAIL WAPF
4200 Wisconsin Ave, NW #106-380
TWO DAYS includes sessions with lunch on two days. Washington, DC 20016
r Pick two days: r Friday r Saturday r Sunday $240 $265
PLEASE NOTE: One adult registration per
DAILY REGISTRATION includes sessions and lunch (no dinner). form, please. Forms submitted without pay-
r Daily Registration r Friday r Saturday r Sunday $140 $155 ment will not be processed.
r Daily 20 & younger r Friday r Saturday r Sunday $85 $85
r Saturday Traditional Diets Seminar, Sally Fallon Morell $75 $75 FOR FURTHER INFORMATION
r Monday Guided Farm Visit 7 AM-6 PM (includes lunch) $110 $110 wisetraditions.org info@westonaprice.org
EVENING EVENTS If we must cancel, we will provide a full
r Thursday WAPF Real Milk Fundraiser Reception $65 refund. See note below about refunds if you
r Friday Dinner and Events $60 cancel.* NO REFUNDS will be issued after
r Saturday Evening Awards Banquet $75 December 31, 2020.
FTCLDF BREAKFAST FUNDRAISER (not included in above registration) CHAPTER LEADERS
r One breakfast (donation) $17 r Breakfast for Friday, Saturday, Sunday $45 r I am listed online as a chapter leader.
r I will attend the Friday Chapter Meeting.
CHAPTER LEADER DISCOUNT r Please deduct 25% off registration (not Thursday, farm visit or breakfasts)
How did you hear about the conference?
Please select the sessions you plan to attend. This helps us plan but you can change your mind.
Friday Choice – AM: r GAPS r 5G r Homeopathy r Health PM: r Cooking r Oils/health r Vaccine/Alum. (check all that apply)
Friday Evening Choice – r Genetic Engineering r Practitioners Panel r Film r Friend/Colleague r WAPF email
Saturday Choice – r Seneff/Cowan r Nourishing Traditional Diets r Homeopathy/Vegetarianism r5G, kamut, dental r Flyer in the mail r WAPF postcard
Sunday Seminar Choice – r Homestead/cheese r Ether/Buildings r Ferments/Practical r Health issues r FB or Instagram r WAPF journal
r Online ad or website r WAPF website
CHILDREN'S PROGRAM (Child must be age 3-12 and potty trained.) *Older children register above. r Print advertisement r Radio
______Child’s Name(s)______________________________________________________Age(s)______________ r Another conference r Chapter
______@ $250 per child for Friday - Sunday includes Friday lunch & dinner, Saturday lunch, Sunday brunch r Other, please specify__________________
rGF/CF meals OR rGF only OR rCF only for ____ children OR ____@ $150 per child, includes no meals.
What is your current occupation?
CEUs FOR RNs & LACs. A $5 certificate of attendance is available. It suffices for RDs & nutritionists. r Acupuncturist r Farmer
rRN rLAc – rAll 3 days $65 rFriday $25 rSaturday $25 rSunday $25// rRD or nutr. rCert of Attend. $5. r Nutritionist r Homemaker
r Chef r Student
PAYMENT PROCESSING r Chiropractor r Retired
Total Due:______________rMasterCard rVisa rCheck Payment/Money Order (make payable to WAPF)
Full Name ____________________________________________________________________________________ r Nurse r Teacher
Card Number__________________________________________________________________________________ r Artisan food producer r Journalist
Exp. Date_____________________________________Security Code (3 digits on back of card)_______________ r Other, please specify__________________
*By submitting this form, I authorize Wise Traditions to charge the applicable registration fees. I understand that all cancellations must be submitted in writing and must be received by
October 23, 2020 to be eligible for a refund, less a $25.00 administrative fee. If the conference is cancelled by the hotel or state, all fees will be refunded. All refunds will be issued after
the conference. Substitutions will be permitted. Registration packets will not be mailed but will be available at the conference for pick up when you register.
16 Wise Traditions FALL 2020