2024 Partnership Conference Registration

If you prefer to print your registration form and send a check, download forms below.
*Note different forms available for discounted registration for district employees.

2024 SCACD Partnership Conference Registration Form 

2024 SCACD Partnership Conference Registration Form for District Employees ($100 off regular price for SCCDEA members)

Please submit a scholarship request to SCACD if your district can’t afford the $250 employee registration fee
2024 Partnership Conference District Employee Scholarship Application

2024 Partnership Conference

"*" indicates required fields

Registrant Information

Name*

Name as it should appear on name badge

First Last

Title

Address*

Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Phone

Email*

Affiliation/Agency

Name of Conservation District or Agency

Affiliation

Select Your Agency or AffiliationDistrict CommissionerCommissioner EmeritusLWC Advisory Board MemberDistrict Associate CommissionerDNR [Department of Natural Resources] Board MemberDistrict EmployeeDistrict ChaplainFederal EmployeeState EmployeeOther

Additional Registrants

Spouse/Guest*

Do you have guest or spouse to register?

Yes

No

Guest or Spouse Name

First Last

Registration Fees

Please select full registration OR Conservation District Employee registration below. Early bird registration fees are valid until December 31. Prices will increase $15 per registration on January 1.

Full Registration Quantity

Price: $350.00

Quantity

includes all conference functions and meeting materials and all meals (Luncheon, Reception and Awards Dinner)

Spouse/Guest Registration

Price:

Includes Luncheon, Reception and Awards Dinner

Conservation District Employee Registration Quantity

Price: $250.00

Quantity

Discounted registration for District Employees only. Includes everything in full registration. Sponsored by SCCDEA. Employee guests must pay full spouse/guest registration fee.

Individual Tickets

Please indicate the number of tickets being requested

Conference Luncheon Quantity

Price: $100.00

Quantity

Tuesday, January 23, Noon | Italian Buffet - menu on request

Awards Reception and Dinner Quantity

Price: $150.00

Quantity

Tuesday, January 23, 5:30pm | Short Rib & Shrimp Duo

Dietary Restrictions*

None

Vegetarian

Vegan

Gluten Free

Other (please use box below to elaborate)

Additional Comments/Information

Please use this space to provide names for individual tickets purchased. If you have allergies or specific dietary restrictions, please note that here as well.

Total Due

(There will be a non-refundable $50.00 processing fee for cancellations) No refunds after January 9, 2024

Name

This field is for validation purposes and should be left unchanged.

Please only click the “Register” button once. You will be directed to PayPal for payment. You DO NOT have to have a PayPal account. Just click on the “Pay with a Credit Card” link at the bottom of the page.
Use the notes section in the payment form to provide registrant name so that we can match payment to registration.