26th Annual Training Conference
January 27th through 30th, 2015
What’s In Your Toolbox?
Motivational Leadership * CPOC Update * Probation OIS Lessons Learned * Understanding the Legislative Process
* Ethics * Wellness *Motivational Speaker
REGISTRATION FORM
Send Registration Forms to: Alba Rosales
℅ San Mateo Co. Probation, 400 County Center, 5th Fl,
Redwood City, CA 94063
Fax: (650) 363-4829
STC Tuition: $300 for members;
$350 for non-members & late registration
REGISTRATION DEADLINE: DEC. 22, 2014
COST
Send tuition payments separately to:
J. Dwayne Martin, CAPSA President
42 County Center Drive, Oroville, CA 95965
** Make Checks Payable To **
Calif. Association of Probation Services Administrators
The Cliffs at Shell Beach
2757 Shell Beach Rd, Shell Beach, CA
(805) 773-5000 or (800) 826-7827
HOTEL INFORMATION
$84.00 Non-ocean View Room
$124.00 Partial Ocean View Room
$139.00 Ocean/Pool View Room
(Plus 11.065% tax & $15.00/ Night Hotel Fee)
Conference Room Rate Guarantee Deadline:
DEC. 26, 2014
Buffet-style meals are included with your registration
Guest meals available for purchase (see below).
MEALS
STC CERTIFICATION
Tuesday: Lunch
Wednesday: Breakfast & Lunch
Thursday: Breakfast & Lunch
Friday: Breakfast
24-hours STC Certified Training
STC Certification Number: 1095-076039
Cancellation & Request for Refund Deadline:
Dec. 30, 2014
(Must be Received by Dwayne Martin by Deadline)
ADDITIONAL INFO
Registration/Check-in Begins Tuesday 1/27 at 10:00 AM
General Membership Meeting at 11:30 AM
** See schedule for presentation details; subject to change**
2015 Conference Registration Form
January 27th through 30th, 2015
The Cliffs, Shell Beach
Registration Deadline: December 22, 2014
Please complete a separate registration form for each participant and include:

Registration information for every participant

Any additional fees for guest meals
Participant information will be published in the conference networking list
Name:
Agency:
Mailing Address:
Phone:
Fax:
E-mail:
Training Manager’s Name:
E-mail:
NOTE: Registration fee includes 6 participant meals. Lost meal vouchers will not be replaced.
GUEST MEALS
I will bring a guest and would like him/her to join me for the following meals:
Tuesday lunch (12:00pm)
Wednesday breakfast (7:00am)
Wednesday lunch (12:00pm)
Thursday breakfast (7:00am)
Thursday lunch (12:00pm)
Friday breakfast (7:00am)
@ $25.00 each =
@ $15.00 each =
@ $25.00 each =
@ $15.00 each =
@ $25.00 each =
@ $15.00 each =
$
$
$
$
$
$
Total cost for guest meals: $
**PLEASE SUBMIT A SEPARATE CHECK FOR GUEST MEALS PAYABLE TO CAPSA **
Send Tuition and Meal Checks (payable to CAPSA) to
J. Dwayne Martin, CAPSA President
℅ Butte County Probation Dept.
42 County Center Drive, Oroville, CA 95965
Send Registration Forms to
Alba Rosales, CAPSA Secretary
℅ San Mateo County Probation Dept.
400 County Center, 5th floor, Redwood City, CA 94063
*CANCELLATION & REQUEST FOR REFUNDS DEADLINE: DEC. 30, 2014*
Must Be Received By J. Dwayne Martin by Deadline*
CAPSA Federal Tax Id#: 91-2167310
Invoice # ________________
County Name:
County Address:
County mailing address (City, State Zip):
INVOICE FOR SERVICES
Item
Description
2015 Annual Conference
Conference Registration
Amount
TOTAL: $
CAPSA Federal Tax ID#: 91-2167310
Please send invoice to:
J. Dwayne Martin, CAPSA President
c/o Butte County Probation
42 County Center Drive
Oroville, CA 95965