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Conference 2010

16TH annual Family Leadership Conference
Focusing on the Future: Empowering Families to Help Themselves

April 16-18, 2010        Canaan Valley Resort     Davis, West Virginia

Brought to you by:
Family Leadership First
And the following partners: Direct Action Welfare Group (DAWG), and Step by Step

Some topics that will be offered at the conference
Perfect Board Member, Veterans Support, Veterans Family Deployment Support, IEPs, Internet Safety, Family Literacy, Coping with a Disability in the Family, Benefits for People with Disabilities and the Changes that Affect those benefits, Diversity Awareness, WV Family Leadership First and WV LINKS, How to Deal with Annoying People, Making Connections, Legal and Financial Issues for Community Based Groups, Changes in Health Care, Blending Families, Parents as Teachers, Financial Literacy (Budgeting and Credit Reporting).

Teen Workshops will include Mental Health issues, Protecting Yourself, Drug and Alcohol Prevention, Volunteer Opportunities, and Building Teen Leaders for Tomorrow.

We reserve the right to make changes to the above topics that will be offered. 
Please visit website by April 12, 2010 for an updated list.

Child care will be provided by certified day care provider.
Reminder if your child needs one-on-one care, you must provide the caretaker
 and we will provide the space.

www.familyleadershipfirstwv.org

Applications must be postmarked by February 28, 2010
Please mail to Family Leadership First, Vanessa VanGilder, 226 Dutch Road, Charleston, WV 25302 or
Fax to (304) 766-4721 Attn: Vanessa VanGilder by February 28, 2010

 

Family Leadership First
Vanessa VanGilder
226 Dutch Road
Charleston WV 25302

 

 

 

 

 

Family Leadership Conference is:

Why Family Leadership?

What’s in it for you?

A legal guardian must accompany all teens.

For more information or if you have any questions please contact VKVanGilder@yahoo.com or 304-421-0915.

The Family Leadership First conference committee selects participants.  We apologize that we will be unable to respond individually on the progress of the review process or reasons for the selection decisions.  We will be sending invitations to the selected applicants by the end of March, 2010.

If your family is selected to attend, your food and lodging at Canaan Valley Resort are covered free of charge to you or your family.
 A cash gas stipend will also be given on Sunday morning at the close of the conference

Conference Schedule


Friday, April 16, 2010

3 p.m. – Registration Opens, Check into Rooms
3 p.m. – 9 p.m. – Information Fair
6 p.m. – 7 p.m. – Dinner
7 p.m. – 9 p.m. – Child Care
7 p.m. – 9 p.m. – Public Forums

Saturday, April 17, 2010

7 a.m. – 8 a.m. – Breakfast
8 a.m. – 5 p.m. – Child Care
8 a.m. – 8:15 a.m. – Welcome
8:30 a.m. – 10 a.m. – Workshop #1
10 a.m. – 10:30 a.m. – Break
10:30 a.m. – 12 noon – Workshop #2
12 noon – 12:45 p.m. – Lunch
12:45 p.m. – 1:15 p.m. – Keynote Speaker
1:15 p.m. – 1:30 p.m. – Break
1:30 p.m. – 3 p.m. – Workshop #3
3 p.m. – 3:30 p.m. – Break
3:30 p.m. – 5 p.m. – Workshop #4
5 p.m. – 6 p.m. – Family Time
6 p.m. – 7 p.m. – Dinner
7 p.m. – 8 p.m. – Networking Sessions
8 p.m. – 11 p.m. – Dance with DJ

Sunday, April 18, 2010

7 a.m. – 7:30 a.m. – Sunrise Service
7:30 a.m. – 8:30 a.m. – Breakfast
8:45 a.m. – 11 a.m. – Child Care
8:45 a.m. – 9 a.m. – Break
9 a.m. – 10:30 a.m. – Workshop #5
10:30 a.m. – 11 a.m. – Check Out of Rooms
11 a.m. – 12 noon – Closing session, door prizes, and distribution of gas stipends.


The Teen Track will have the same Workshops Schedule as stated above.

We reserve the right to make change to the above conference schedule. 
Please visit website by April 12, 2010 for an updated list
.


To Fill out the online forms Click in the Grey Boxes below.

To Print a form out and Mail it in Print on the Links Below the Grey Boxes.

 

 

Forms

  • Info
  • Child Care Form
  • Presenters Form
  • Exhibitors Form
  • Family Form
Click on the form you need to submit above. If you prefer to print the form out and mail it in click on the proper form below

Child Care
Children’s Program Information Sheet
Please complete one form for each child who will attend and mail with registration form.
(Please print clearly)

Parent’s/caregiver’s name:

Address:

City: State Zip:

County:

Child’s name:

My child is called by this name:

Age: Date of birth:

Does your child have a disability we should be aware of?

Allergies (including food allergies):



Medications:


PLEASE LIST ALL MEDICATIONS INCLUDING
TIME AND DOSE FOR EACH

Please specify additional medications:

Seizures: Yes No

My child communicates/expresses his/her wants and needs
by use of:

Verbal communications

Communication board

Sign language

Gestures


My child’s feeding needs:
Self feed Regular diet Tippy cup Bottle
Pureed foods
Finger foods Soft foods diet Adaptive equipment


My child’s toileting needs:
Toilet trained Catherization Diapers Adaptive potty chair


My child uses the following special equipment:
Crutches  Walker Power Wheelchair Manual wheelchair Adaptive chair
Other

My child has the following special behaviors and this is how you should deal with them:


These are some of my child’s favorite things to do:

Other information that I think would be helpful to know about my child:

Note: One-to-one child care will not be available.  If your child requires one-to-one handling, you must provide the trainer and we will provide the space and activities.

 

Click here for Printable Form

 

Presenters Application

 

Presenter Info

Name

Street Address

City

Telephone Number

Email

Organization Affiliation:

Position Title

Your Workshop Information

Workshop Title

Workshop Description 70 words or less

Workshop target audience: 

What New Skills will the workshop teach

 

Bio for presenter (50 words or less) If more than one presenter please include info here:

 

 

Print Presenters Form Here

 

Content 2

 

Need Electricity? yes no

There is no fee to exhibit.

I do not wish to exhibit but would like to provide brochures, information or promotional items to be included in conference bags.

Please Submit this form to the Family Leadership First by February 28, 2010

 

Print Exhibitor FormHere

SIXTEENTH ANNUAL FAMILY LEADERSHIP CONFERENCE
Families First and Foremost
Application Form
(Please print clearly and answer all questions)

Your Name:


Address:

City:

State: Zip:

County: Email:


Phone:


Preferred Method of contact phone mail email

1. Do you or any of your immediate family currently receive any type of public assistance? YES NO

(Public assistance includes CHIP, SSI/SSD, childcare subsidy, TANF/WVWorks/welfare check, Food stamps/EBT card, HUD/public housing, and /or Medicaid/medical card)

2. Do you or any or your immediate family currently have a developmental disability as defined on the previous page?
YES NO

3. How did you hear about the conference?


4. Have you attended the conference before? List what years

5. Are you the parent or responsible person of a teen leader who wants to attend? YES NO

Your Family

1. Those attending with you (please attach additional sheets if needed) Please include first and last names for everyone.
Teens 13 and older must participate in the teen workshops and trainings.

Name: Age:
Name: Age:
Name: Age:
Name: Age:

2. I will need onsite childcare during the workshops YES NO


Total number of children needing childcare: 0-2 3-6 7-12

Child care information sheet required for EACH child under 13 years of age that you will be bringing.

Accommodations and Meals

1. Do you or anyone attending with you have special needs, requirements, or accommodation needs?

YES NO


If yes, please list:

2. Please check which meals you will be attending
Friday Dinner YES NO

Saturday Lunch YES NO 

Saturday Dinner YES NO    
Sunday Lunch YES NO

Sunday Dinner YES NO

3. Do you need rooms? YES NO

4. How many rooms do you require? (max. of 4 to a room)

Special Dietary needs

5. I give permission for pictures taken at the conference to be used by FLF and their partner organizations. INITIAL HERE

6. Please indicate if you are a member of one or more of these organizations
FLF _DAWG MSPCAN MSDAC SBS WV Family Links

 

Child Care
Children’s Program Information Sheet
Please complete one form for each child who will attend and mail with registration form.
(Please print clearly)

Parent’s/caregiver’s name:

Address:

City: State Zip:

County:

Child’s name:

My child is called by this name:

Age: Date of birth:

Does your child have a disability we should be aware of?

Allergies (including food allergies):



Medications:


PLEASE LIST ALL MEDICATIONS INCLUDING
TIME AND DOSE FOR EACH

Please specify additional medications:

Seizures: Yes No

My child communicates/expresses his/her wants and needs
by use of:

Verbal communications

Communication board

Sign language

Gestures


My child’s feeding needs:
Self feed Regular diet Tippy cup Bottle
Pureed foods
Finger foods Soft foods diet Adaptive equipment


My child’s toileting needs:
Toilet trained Catherization Diapers Adaptive potty chair


My child uses the following special equipment:
Crutches  Walker Power Wheelchair Manual wheelchair Adaptive chair
Other

My child has the following special behaviors and this is how you should deal with them:


These are some of my child’s favorite things to do:

Other information that I think would be helpful to know about my child:

Note: One-to-one child care will not be available.  If your child requires one-to-one handling, you must provide the trainer and we will provide the space and activities.

 

 

 

Print Family Form Here

 

 

Print Presenters Form Here

Print Family Form Here

Print Exhibitor FormHere

Print Child Care Form Here

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