Registration Form April 10-13, 2016 SCHEDULE April 10th, 2016 Welcome Reception sponsored by Cedergrens MEK. and SKIDCAR SYSTEM, INC. USA. April 11th & 12th, 2016 Classroom Presentations Focused on Instructor Challenges in the 21st century. Training Digital Natives for analog outcomes How to connect with millennial generation learners Safe Driving Technologies & Semi-autonomous vehicles: How will new technologies and vehicle design affect future training curriculum? COST & REGISTRATION Symposium: $495.00* per person. Attendance fee includes Welcome Reception, Breakfasts, Lunches, and final night Gala Dinner in addition to educational Speaker Content and SKIDCAR and SKIDTRUCK Service Clinics. * Pricing above is inclusive of a 5% discount extended for cash, check, or wire payments. Full price will apply to credit card or other forms of payment and is outlined on the attached credit card authorization form. April 12th, 2016 Gala Dinner - To be held the evening of the 12th. This event includes closing comments, awards, raffle prizes, and is included for all registered attendees. Should you be travelling with a guest and would like them to attend the dinner as well, the cost for an additional seat is $65.00. April 13th, 2016 Service Clinics Representatives from Cedergrens MEK. and SKIDCAR SYSTEM, INC. will cover points including Hydraulics, Electrical, and Tire & Wheel Maintenance for both the SKIDCAR and SKIDTRUCK. No Charge. Optional SKIDCAR Recertification Program: $75 per person. Open to all who wish to attend. Limited class size - priority will be given to those who are certified. We will offer a Certificate of Attendance to persons who attend all sessions, including both the classroom and practical training. We will only offer Recertification to numbered instructors who have been issued a previous SKIDCAR instructor certificate from SKIDCAR SYSTEM, INC. Host Property Info - Atlantis Resort Reno 3800 S. Virginia Street, Reno, NV 89502 Room Reservations by Phone: (800) 723-6500 - Reference SKIDCAR System, Inc. Online Room Reservations: 1. Log onto: www.atlantiscasino.com 2. Click Get Rates (Green button at top right). 3. Select your check-in date and number of nights. 4. Enter group code SSKDCAR, then click Update Rates. Room block rates are $84, single or double occupancy, plus 13% tax and $2.00 tourism tax surcharge per night. Resort fees have been waived for these events and will not be charged with your reservation. Please note that all online reservations will be charged first night s room and tax. Page 1
Registration Form April 10-13, 2016 Name of Agency/Company Address City State/Province Zip/Postal Code Country ( ) ( ) Phone Fax Personal Information Check Those You Wish to Attend Name Instructor Cert# S M L XL XXL XXXL T-Shirt Size (Circle Choice) Driver Training Symposium $495 Recertification $75 Additional Dinner $65 (Extra Guest at Gala on 4/12/16) Service Clinic N/C Email for Attendee Email for Receipt ESC Workshop $295 (Separate Event on Wednesday) If Purchasing Additional Dinner Ticket, Provide Name of Guest Here TOTAL $ Return Completed Form with Payment to: (PAYMENT DUE BY MARCH 11, 2016) SKIDCAR SYSTEM, INC. 6440 Sky Pointe Drive, Suite 140, PMB 141 Las Vegas, NV 89131 Attendance Fee Includes: Welcome Reception, Breakfasts, Lunches, and final night Gala Dinner in addition to educational Speaker Content and SKIDCAR and SKIDTRUCK Service Clinics. Cancellation Policy: Fee will be refunded less 20% charge if cancellation is received in writing by April 1, 2016. Page 2
ESC Workshop Registration Form April 13, 2016 ESC WORKSHOP April 13th, 2016 Course Information New generation police vehicles are here and the knowledge to train with new driver safety technologies must be included in current curriculum. Depending upon the type of vehicle being driven, possible changes in driving habits could be vital in avoiding unexpected, or even deadly, outcomes. Electronic Stability Control is a safety feature installed in all new police cars and SUVs as of the 2012 model year. This technology is designed to prevent rollovers and loss of traction by keeping your vehicle in contact with the ground during dangerous situations. Exclusively from SKIDCAR System, Inc., the ESC WORKSHOP brings an up-to-date understanding of the Electronic Stability Control systems installed in all new Police Vehicles. The class will be conducted in a Dodge Charger Pursuit SKIDCAR, featuring a new generation Police Package, equipped with Law Enforcement Specific ESC calibration. Through this program, ESC systems are exposed, explained, and understood. This is a practical workshop for the education of Emergency Vehicle Operation Course Instructors, Public Employees, and Administrative Staff responsible for cognitive learning curriculum and motor skill validation in vehicles equipped with ESC. It includes 2 components; a classroom presentation and an in-car, behind-thewheel, validating physical experience. Incorporated into the in-car segment will be a static New Vehicle Control Orientation for the operation of interior controls. Limited Class Size - Registration will be awarded on a first come first served basis. COST & REGISTRATION ESC Workshop: $295.00* per person. Attendance fee includes the workshop and provided lunch. Travel and accommodations are the responsibility of the individual attendees. * Pricing above is inclusive of a 5% discount extended for cash, check, or wire payments. Full price will apply to credit card or other forms of payment and is outlined on the attached credit card authorization form. Host Property Info - Atlantis Resort Reno 3800 S. Virginia Street, Reno, NV 89502 Room Reservations by Phone: (800) 723-6500 - Reference SKIDCAR System, Inc. Online Room Reservations: 1. Log onto: www.atlantiscasino.com 2. Click Get Rates (Green button at top right). 3. Select your check-in date and number of nights. 4. Enter group code SSKDCAR, then click Update Rates. Room block rates are $84, single or double occupancy, plus 13% tax and $2.00 tourism tax surcharge per night. Resort fees have been waived for these events and will not be charged with your reservation. Please note that all online reservations will be charged first night s room and tax. Page 3
ESC Workshop Registration Form April 13, 2016 Name of Agency/Company Address City State/Province Zip/Postal Code Country ( ) ( ) Phone Fax Personal Information Check Those You Wish to Attend Name ESC Workshop $295 Email for Attendee Email for Receipt TOTAL $295.00 The ESC Workshop is a stand-alone event, separate and apart from the Driver Instructor Symposium. As such, it does conflict with optional Symposium activities. If you are scheduled to attend either the SKIDCAR Recertification or Service Clinic on April 13th, 2016, please note that these events will conflict with the timing of the ESC Workshop. Return Completed Form with Payment to: (PAYMENT DUE BY MARCH 11, 2016) SKIDCAR SYSTEM, INC. 6440 Sky Pointe Drive, Suite 140, PMB 141 Las Vegas, NV 89131 Attendance fee includes the workshop and provided lunch. Cancellation Policy: Fee will be refunded less 20% charge if cancellation is received in writing by April 1, 2016. Page 4
Rider Instructor Symposium Registration Form April 14-16, 2016 SCHEDULE April 14th, 2016 Welcome Reception sponsored by Cedergrens MEK. and SKIDCAR SYSTEM, INC. USA. April 15th, 2016 Classroom Presentations Speakers to focus on: Current and future training challenges New training programs and trends Exposure to and explanations of current and future Motorcycle Safety Control technology Live demonstrations of motorcycle training technology April 16th, 2016 Exposure to and explanations of current and future Motorcycle Safety Control technology that will affect future rider training outcomes. This day will focus on rider exercises and demonstrations with multiple SKIDBIKEs mounted on new generation motorcycles. COST & REGISTRATION Rider Instructor Symposium: $245.00* per person. Attendance fee includes Welcome Reception, breakfast on both days, and lunch on the 15th, in addition to all speaker content and hands-on, outdoor rider exercises. * Pricing above is inclusive of a 5% discount extended for cash, check, or wire payments. Full price will apply to credit card or other forms of payment and is outlined on the attached credit card authorization form. Host Property Info - Atlantis Resort Reno 3800 S. Virginia Street, Reno, NV 89502 Room Reservations by Phone: (800) 723-6500 - Reference SKIDCAR System, Inc. Online Room Reservations: 1. Log onto: www.atlantiscasino.com 2. Click Get Rates (Green button at top right). 3. Select your check-in date and number of nights. 4. Enter group code SSKDCAR, then click Update Rates. Room block rates are $84 on April 14th and $129 on April 15th & 16th, single or double occupancy, plus 13% tax and $2 tourism tax surcharge per night. Resort fees have been waived for these events and will not be charged with your reservation. Please note that all online reservations will be charged first night s room and tax. Page 5
Rider Instructor Symposium Registration Form April 14-16, 2016 Name of Agency/Company Address City State/Province Zip/Postal Code Country ( ) ( ) Phone Fax Personal Information Check Those You Wish to Attend Name Rider Instructor Symposium $245 S M L XL XXL XXXL T-Shirt Size (Circle Choice) TOTAL $ 245.00 Email for Attendee Email for Receipt Return Completed Form with Payment to: (PAYMENT DUE BY MARCH 11, 2016) SKIDCAR SYSTEM, INC. 6440 Sky Pointe Drive, Suite 140, PMB 141 Las Vegas, NV 89131 Attendance fee includes Welcome Reception, breakfast on both days, and lunch on the 15th, in addition to all speaker content and handson, outdoor rider exercises. Cancellation Policy: Fee will be refunded less 20% charge if cancellation is received in writing by April 1, 2016. Page 6
PAYMENT DUE BY MARCH 11, 2016 Payment Form Check Enclosed VISA / MasterCard (Circle One) (Sorry, we do not accept American Express) Credit Card # Exp. Date 3-digit CSC (on back of card) Name on Card Billing Address Email for Receipt SIGNATURE Price list including 5% fee for Credit Card use: Driver Instructor Symposium... $495 ($519.75 Credit Card) SKIDCAR Recertification Program... $75 ($78.75 Credit Card) Additional Dinner (for Gala on 4/12/16)... $65 ($68.25 Credit Card) ESC Workshop... $295 ($309.75 Credit Card) Rider Instructor Symposium... $245 ($257.25 Credit Card) RETURN TO: SKIDCAR SYSTEM, INC. Phone: (702) 395-2896 6440 Sky Pointe Drive, Suite 140, PMB 141 Toll Free: 866-SKIDCAR Las Vegas, NV 89131 Fax: (702) 395-2378 Page 7