Advance Registration Form

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1 Advance Registration Form HILTON OCEANFRONT / HILTON GARDEN INN / HOLIDAY INN & SUITES NORTH BEACH MARRIOTT COURTYARD OCEANFRONT NORTH / SHERATON OCEANFRONT HOTEL EACH ATTORNEY AND JUDGE SHOULD COMPLETE THIS FORM AND RETURN IT WITH THE APPROPRIATE REGISTRATION FEE AND FEES FOR ADDITIONAL TICKETS AND EVENTS. Please make checks payable to Virginia State Bar. Full Name of Attorney or Judge For Judges: Court *Preferred Name for Badge VSB I.D. # First-Time Attendee Executive Committee Council Firm/Affiliation Past President Disciplinary Board CLBA EC YLC Board SLC Board Diversity Conference Board Mailing Address City State Zip Office Telephone ( ) AREA CODE NUMBER FOR REGISTRATION CONFIRMATION Full Name of Spouse or Guest (if attorney, please register separately) *Preferred Name of Spouse or Guest for Badge Registration Fees NUMBER: $ Registration Fee for each lawyer For registration postmarked by May 15 $165 (waived for full-time active judges and fully retired judges) For registration postmarked after May 15 $190 $ Registration Fee for first time attendees First Time Attendee registration fee $135 On-line registration is available at THURSDAY, JUNE 18 8:45 A.M. 4:30 P.M. 41st Annual VaCLE Seminar Recent Developments in the Law (separate registration & fee required; contact VaCLE at ; 11:45 A.M. Fore Diversity Golf Tournament (separate registration & payment required; see page 6) FRIDAY, JUNE 19 7:00 A.M. Yoga by the Sea ($15 per person) $ 7:30 A.M. Run In The Sun 5K Run ($15 per person) $ (please complete entry form on page 13) 6:30 P.M. Opening Reception JUNE 18 21, 2015 / VIRGINIA BEACH, VIRGINIA 9

2 Advance Registration Form FRIDAY, JUNE 19 9:00 A.M. 4:30 P.M. 11:45 A.M 3:00 P.M. Showcase CLE Programs Check below: 9:00 A.M. 11:00 A.M. The Changing Marijuana Landscape Contracts Gone Bad: The Litigator s Wish List 1:30 P.M. 3:30 P.M. International Mergers & Acquistions 1:30 P.M. 4:30 P.M. Blind Spot: Hidden Biases of Good People Section & Conference Joint Luncheon ($20 per person) $ Check Below (for table seating): Bankruptcy Law Section Business Law Section Corporate Counsel Section Criminal Law Section Education of Lawyers Section General Practice Section Health Law Section Intellectual Property Section International Practice Section Litigation Section Local Government Law Section Trusts & Estates Section Diversity Conference Senior Lawyers Conference Virginia Legal Aid Award Luncheon ($20 per person) $ Young Lawyers Conference Admission by ticket Membership & Fellows Reception & Awards Family Bingo 6:00 P.M. 7:00 P.M. President s Reception 6:00 P.M. 10:00 P.M. Children s Dinner ($20 per child) $ (please complete entry form on page 7) SATURDAY, JUNE 20 7:00 A.M. 8:00 A.M. Yoga by the Sea ($15 per person) $ Law School Alumni Breakfasts ($20 per person) $ Check below: Appalachian George Mason Regent University of Richmond University of Virginia Washington & Lee William & Mary 9:45 A.M. 11:45 A.M. Showcase CLE Program Judiciary Squares Recent Developments in Virginia Law 12:00 P.M. 1:00 P.M. 1:00 P.M. Raffles & Closing Reception Stitt Memorial Volleyball Tournament ($15 per person) $ (please complete entry form on page 13) Tennis Tournament ($15 per person) $ (please complete entry form on page 13) TOTAL ENCLOSED FOR ALL EVENTS $ Attach registration form(s) for all Athletic Events and Children s Dinner, and return with this form. Please retain a copy of this form for your files; an confirmation will be sent. Please return this form with your check to: Annual Meeting/Bar Services Virginia State Bar 1111 E. Main Street, Suite 700 Richmond, VA :00 P.M. Annual Banquet ($70 per person) Sold Out REFUND POLICY: A $35 charge will be deducted from all refunds on registration fees. No registration refunds will be made on cancellations received after 5:00 P.M. Wednesday, June 10, Refunds for meal tickets will be made on cancellations received 48 hours prior to function. All refund requests must be received in writing, by mail, or 10 VIRGINIA STATE BAR / 77TH ANNUAL MEETING

3 Hotel Registration PLEASE RETURN FORMS DIRECTLY TO THE HOTEL OF YOUR CHOICE To secure the reservations you desire, register early by completing one of the hotel reservation forms below and returning it directly to the hotel of your choice. You may also register online using the web links provided by the hotels on the VSB s website: DEPOSITS/CONFIRMATIONS: One night s deposit is required to confirm your reservation and should accompany your reservation. Checks and/or major credit cards will be accepted by the hotels. A written confirmation will be issued by the hotel, upon receipt of a deposit. CUTOFF DATES: The VSB block of rooms will be released at some hotels in May. Please note the cutoff date for each hotel on the registration forms below. Reservations received by the hotels after the cutoff dates will be honored on a space available basis only. CHANGES/CANCELLATIONS: Please note refund policies for each hotel. All changes, cancellations, etc., should be made directly with the hotel. When making inquiries with the hotel regarding your room reservation, please identify yourself as a member of the Virginia State Bar. TAX/ALL HOTELS: 14%; plus $1.00, per room, per night lodging tax Courtyard By Marriott Oceanfront North 3737 Atlantic Avenue (757) FAX (757) hour cancellation notice required to avoid charge of one night s room and tax. $7 daily parking fee All rooms are non-smoking 2 Queen Beds $249 King $249 Suite/2 Queen Beds $345 Suite/King $345 Check-in time: 4:00 p.m. VIRGINIA STATE BAR / 77TH ANNUAL MEETING / JUNE 18 21, 2015 / RESERVATION CUTOFF DATE: MAY 22, 2015 Hilton Garden Inn Oceanfront 3315 Atlantic Avenue (757) FAX (757) day cancellation notice required to avoid charge of one night s room and tax. All Rooms Run of House (Request only) Oceanfront/Double $219 (Extra Adult: $10) Oceanfront/King $219 (Extra Adult: $10) Check-in time: 3:00 p.m. VIRGINIA STATE BAR / 77TH ANNUAL MEETING / JUNE 18 21, 2015 / RESERVATION CUTOFF DATE: MAY 22, 2015 JUNE 18 21, 2015 / VIRGINIA BEACH, VIRGINIA 11

4 Hotel Registration Hilton Oceanfront 14 day cancellation notice required 3001 Atlantic Avenue to avoid charge of one night s room and tax. (757) Request In-House RESERVATIONS FAX (757) All Rooms Run of House (Request Only) Double Room $259 (Extra Adult: $10) King Room $259 (Extra Adult: $10) Check-in time: 4:00 p.m. VIRGINIA STATE BAR / 77TH ANNUAL MEETING / JUNE 18 21, 2015 / RESERVATION CUTOFF DATE: MAY 22, 2015 Holiday Inn & Suites North Beach 3900 Atlantic Avenue (757) FAX (757) hour cancellation notice required for deposit refund. Queen/Queen/Poolside $209 (Extra Adult: $10) King w/sofa/oceanfront $209 (Extra Adult: $10) Queen/Queen Suite/Oceanfront $295 (Extra Adult: $10) Check-in time: 4:00 p.m. VIRGINIA STATE BAR / 77TH ANNUAL MEETING / JUNE 18 21, 2015 / RESERVATION CUTOFF DATE: JUNE 1, Atlantic Avenue (757) FAX (757) VIRGINIA STATE BAR / 77TH ANNUAL MEETING Sheraton Oceanfront Hotel 72 hour cancellation notice required for deposit refund. Indicate 1st, 2nd, 3rd choice: Oceanfront/2 Queens $209 (Extra Adult: $10) Oceanfront/King $209 (Extra Adult: $10) Partial Oceanview/King $209 (Extra Adult: $10) Partial Oceanview/2 Queens $209 (Extra Adult: $10) Pool View/King $209 (Extra Adult: $10) Check-in time: 4:00 p.m. VIRGINIA STATE BAR / 77TH ANNUAL MEETING / JUNE 18 21, 2015 / RESERVATION CUTOFF DATE: MAY 27, 2015

5 Athletic Entry Forms Run In The Sun 5K Entry Form Entry form should be returned with your Annual Meeting Registration. Include the $15 entry fee in your total payment. Checks are made payable to the Virginia State Bar. Please sign and date the form below. Name(s) AGE ON RACE DAY: T-SHIRT SIZE: XL L M S SEX: M F Acknowledgement of Risks: I know that running, and particularly running in a race, is a potentially hazardous activity. I am aware that the run will take place on a concrete boardwalk, which may be injurious to my body, and that heatstroke and its consequences are a risk of running in hot weather. I should not enter and run unless I am medically able and properly trained. I assume all risks associated with running this event, including, but not limited to, falls; contact with other participants, volunteers, spectators baby strollers, and dogs; traffic which includes but is not limited to roller bladders, and cyclists; obstructions and conditions on the boardwalk, the effects of the weather including high heat and/or humidity, and the conditions of the run, all such risks being known and appreciated by me. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue participation in the event. I agree to abide by any decision of a race official relative to my ability to safely complete the run, however, I acknowledge that race officials are not responsible to know my medical condition or my ability to participate in and complete this event. I grant permission to the Virginia State Bar, the Young Lawyers Conference, and all sponsors, their representatives and successors to use any photographs, motion pictures, recording or any other record of this event for any legitimate purpose. SIGNATURE DATE PARENT/GUARDIAN (IF UNDER 18) Beach Volleyball Entry Form Entry form should be returned with your Annual Meeting Registration. Include the $15 entry fee in your total payment. Checks are made payable to the Virginia State Bar. Please sign and date the form below. Name T-SHIRT SIZE: XL L M S Tennis Tournament Entry Form Entry form should be returned with your Annual Meeting Registration. Include the $15 entry fee in your total payment. Checks are made payable to the Virginia State Bar. Please sign and date the form below. Name(s) List all other team members (at least two women) and indicate the team name. If no T-shirt size is indicated, you will be assigned a size Large. 1. XL L M S 2. XL L M S 3. XL L M S 4. XL L M S 5. XL L M S Acknowledgement of Risks: I know that running, and particularly running in a race, is a potentially hazardous activity. I am aware that the run will take place on a concrete boardwalk, which may be injurious to my body, and that heatstroke and its consequences are a risk of running in hot weather. I should not enter and run unless I am medically able and properly trained. I assume all risks associated with running this event, including, but not limited to, falls; contact with other participants, volunteers, spectators baby strollers, and dogs; traffic which includes but is not limited to roller bladders, and cyclists; obstructions and conditions on the boardwalk, the effects of the weather including high heat and/or humidity, and the conditions of the run, all such risks being known and appreciated by me. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue participation in the event. I agree to abide by any decision of a race official relative to my ability to safely complete the run, however, I acknowledge that race officials are not responsible to know my medical condition or my ability to participate in and complete this event. I grant permission to the Virginia State Bar, the Young Lawyers Conference, and all sponsors, their representatives and successors to use any photographs, motion pictures, recording or any other record of this event for any legitimate purpose. Acknowledgement of Risks: I know that participation in athletic events can be potentially hazardous. I am aware that physical activity may be injurious to my health and I may be hurt, and that heatstroke and its consequences are a risk of participating in athletic events in hot weather. I should not participate in athletic events, such as golf, tennis, volleyball, etc., unless I am medically able, in good physical condition and properly trained for the sport. I assume all risks associated with participating in this event(s), including, but not limited to, falls; contact with other participants, volunteers and spectators; the effects of the weather including high heat and/or humidity; being hit by a ball and/or other equipment used to engage in the activity; and the conditions of the event, all such risks being known and appreciated by me. I agree to abide by any decision of an official presiding over the activity relative to my ability to safely engage in the activity, however, I also acknowledge that officials are not responsible to know my medical condition or my ability to participate in and complete the activity. I grant permission to the Virginia State Bar, the Young Lawyers Conference, and all sponsors, their representatives and successors to use any photographs, motion pictures, recording or any other record of this event for any legitimate purpose. SIGNATURE PARENT/GUARDIAN (IF UNDER 18) DATE SIGNATURE DATE PARENT/GUARDIAN (IF UNDER 18) JUNE 18 21, 2015 / VIRGINIA BEACH, VIRGINIA 13

6 Children s Dinner Registration Form Friday, June 19, 6:00 p.m. / Hilton Virginia Beach Oceanfront Hotel / Ages 4 10 NAME(S) AGE(S) NAME(S) AGE(S) NAME(S) AGE(S) ATTORNEY PARENT S AUTHORIZATION SIGNATURE VSB I.D. # CELL/TELE NUMBER ON SITE AT MEETING Attach to, and return with, the Annual Meeting Registration form. JUNE 18 21, 2015 / VIRGINIA BEACH, VIRGINIA 7

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