First Name *

Last Name *

Phone *

Email *

Title *

Organization *

Title of Presentation *

Brief description of what will be taught: *

Please select a track: *

Length (1 Hour Increments)

Administration/Leadership

Park Maintenance/Operations

Recreation Programming

Athletics/Aquatics

I am requesting this to be a double session (2-hours)

#1 Learning Outcome *

#2 Learning Outcome *

#3 Learning Outcome *

Special equipment or supplies that might be needed for this session:

GRPA will provide projector, screen, and sound (if needed) in each room.  Presenter must provide their own laptop.

HDMI Cable

VGA Cable

Sound

Other

Requested Date/Time (not guaranteed): *

Monday, November 3: Morning

Monday, November 3: Afternoon

Tuesday, November 4: Morning

Tuesday, November 4: Afternoon

Wednesday, November 5: Morning

Wednesday, November 5: Afternoon

Thursday, November 6: Morning

Requested honorarium or expenses: *

Conference Registration

Hotel

Honorarium/Travel- to include ALL anticipated travel expenses (airfare, car, meals, etc.) except hotel.  If requesting complete amount must be listed below

Vendor Booth

None

If honorarium was selected, please indicate an amount below:

Written requests for expense reimbursement, with justification, should be submitted to: 

GRPA 

1285 Parker Road Conyers, GA 30094 

770.760.1403

Fax: 770.760.1550 

E-mail: scard@grpa.org

Check box to acknowledge: *

Special one-day complimentary Guest Badges will be provided to invited speakers for the day they are presenting, which will entitle them to participate in all other education programs on that day at no cost. Badges must be picked up at Speaker Registration at the conference. 

Only Out of Field Invited Speakers are eligible for these complimentary badges.

This policy has been approved by the GRPA Board of Trustees