Region V PCCS Region V Private Career Colleges and Schools 17TH Annual Workshop Workshop Dates Region V PCCS May 24th, 25th, 2010  Indian Lakes Resort 250 W. Schick Road, Bloomingdale, Il. 60108 PHONE (800) 334-3417

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THE REGISTRATION FORM – REGION V
(This is a 2 day conference all day Monday & all day Tuesday)

Private Career Schools in the Region V Area
REGION V PCCS – ILLINOIS, WISCONSIN, MINNESOTA, MICHIGAN, OHIO, INDIANA
CONFERENCE DATE                   “Partnership in Growth”
Region V Private Career Colleges and Schools 17TH Annual Workshop
May 24th & 25th, 2010

HOTEL
Hilton Indian Lakes Resort 250 W. Schick Road, Bloomingdale, Il. 60108
PHONE (800) 334-3417

A-1 LIMOUSINE SERVICE (to and form the airports)
Reservation call 630-833-3788, when you get to O’Hare or Midway call 800-354-5849

REGISTRATION
       THE CONFERENCE STARTS ON MONDAY AT 8:00AM & ENDS TUESDAY AT 4:00PM
General Registration Fee $200 per person per conference
Or
Exhibitors Registration Fee $800 per Conference

PLEASE PRINT PLEASE
Attendees name_________________________________________
Attendees name_________________________________________
Attendees name_________________________________________
Attendees name_________________________________________
Institution_____________________________________________
Address_______________________________________________
Phone number______________________Fax_________________
E-mail________________________________________________
General Registration Number of Attendees_______ $ Amount_______
Or Exhibitors Registration $ Amount_______

Please complete the back side of this form if you want to play golf on Sunday and/or
If you want to play miniature golf at our hospitality poolside cook out Monday night

Please make your check payable and mail to:
Region V PCCS c/o Larry Prather, Ex. Dir. P.O. Box 20896, Wichita, KS 67208
Phone or Fax (316) 682-1838 E-mail larryprather@cox.net
Web Site – regionspccs.com
REGION V PCCS CONFERENCE SPECIAL EVENTS

GOLFING ON SUNDAY SIGN-UP
MAY 23rd, 2010
There will be special golfing at the Hilton Indian Lakes Resort on Sunday with Larry Prather and others starting on Sunday AM & PM, we will have several tee 
times for AM & PM, we will follow up with you if you are interest in playing on 
Sunday.  The times will be around 7:00am and 12:00noon, therefore, when you   
sign-up put down what time you want to play, we will call you and give you the cost of rental golf clubs and the green/cart fee.  It should be around $50 to $70 per 18 holes that includes rental clubs, cart and 18 holes of golf and get to play with
Larry Prather!!!!!!!!

NAME______________________________________________________________
SCHOOL OR BUSINESS________________________________________________
PHONE_______________________E-MAIL_______________________________

NAME_______________________________________________________________
SCHOOL OR BUSINESS_______________________________________________
PHONE_______________________E-MAIL________________________________

MINIATURE GOLF ON MONDAY DURING HOSPITALITY
MAY 24th, 2010

There will be a putting contest Monday during the Hospitality Poolside Cook Out,
it will consist of 18 holes of miniature golf, there at the Hilton Indian Lakes Resort
with a prize of $100 for the lowest score for the 18 holes, with play off if necessary.
You need to sign-up on this registration form or sign-up at the conference with 
Terry Hopkins for time to play your 18 hole miniature golf during the Hospitality
Poolside Cook Out and the prize will be given away at lunch on Tuesday.  There is
no cost to play or enter.

NAME________________________________________________________________
SCHOOL OR BUSINESS________________________________________________
PHONE_________________________E-MAIL_______________________________

NAME________________________________________________________________
SCHOOL OR BUSINESS________________________________________________
PHONE_________________________E-MAIL______________________________

NAME________________________________________________________________
SCHOOL OR BUSINESS________________________________________________
PHONE_________________________E-MAIL_______________________________