Military Spouse Day Conference 2012                                 General InformationWHAT: This 2-Day event is a salute ...
MILITARY SPOUSE DAY CONFERENCE 2012 REGISTRATION FORM   __________________________________________________________________...
Military Spouse Day Conference 2012 Workshop Descriptions9:00 a.m. - 11:55 a.m.Craft Round Robin – Complete three differen...
RELEASE OF LIABILITY                                        Data Required by the Privacy Act of 1974Prescribing Directive:...
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Military Spouse Day Conference 2012 (10 11 May)

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Military Spouse Day Conference 2012 (10 11 May)

  1. 1. Military Spouse Day Conference 2012 General InformationWHAT: This 2-Day event is a salute to our Military Spouses!! It’s an event just foryou – meet other spouses, get to know yourself better, or just have fun!!WHEN/WHERE: DAY 1 – Thursday, May 10 - “You Can Be Creative” - fun workshopsthat will bring out the creative side of anyone. (Fort Bragg Club)DAY 2 – Friday, May 11 - “Soldier for a Day” – an opportunity to experience a day inthe life of a Soldier to include morning physical training and the jump tower! BEPREPARED TO GET DIRTY AND SWEATY – it’s definitely not a day for the physicallyshy!! (Soldier Support Center/Other post locations).TIME: 8:00 a.m. to 5:00 p.m. Both days - detailed agenda attached.REGISTRATION FEE: $15 per day; $25 for both days. Payment made by check or moneyorder payable to “IMWRF”. Sorry, absolutely no refunds on cancellations after April 27.CHILD CARE: Due to the nature of the conference, children will not be allowed to attend.Limited child care is provided for conference attendees on both days who are current CYSScardholders. Children must be between the ages of 6 weeks and 12 years. Unfortunately,after school care only cannot be provided unless there are available spaces remaining afterfull day requirements are taken care of. Day 2 participants are reminded that priorarrangements must be made for school age children as you will need to check in prior to 8a.m. and not be able to leave the location until 5 p.m. (except in cases of emergencies).Once child care reservations are made, no-show fees will be charged against theparticipants CYSS accounts should the spaces not be used and not cancelled in advance.CONFERENCE REGISTRATION DEADLINE: Friday, April 27 (or when available slotsare filled)HOW TO REGISTER: Complete the attached registration form and drop off with yourregistration fee to Army Community Service, Installation Volunteer Services, located on the3rd Floor, Soldier Support Center, Normandy Drive. Additional registration packets can bedownloaded from the website at www.fortbraggmwr.com. Due to payment and release formrequirements, registration cannot be taken on-line.FOR MORE INFORMATION: If you need additional information, contact InstallationVolunteer Services at (910) 396-8160. REGISTRATION FORM & WORKSHOP INFORMATION ATTACHED.
  2. 2. MILITARY SPOUSE DAY CONFERENCE 2012 REGISTRATION FORM ___________________________________________________________________________ Last Name First Name Email (required for conference confirmation information) ___________________________________________________________________________________ Address City State Zip Code __________________________________________________________________________________________________________________ Phone # Alternate Phone # Need childcare? ___ Yes** ___ No **You must be a CYSS cardholder to use the child care. A no-show fee will be charged to your account by CYSS if care is reservednot cancelled in advance. Names/ages of children______________________________________________________________________ *Child care is full day only for children ages 6 weeks – 12 years of age. YOU MAY SIGN UP FOR ONE OR BOTH DAYS - Registration fee is $15 for one day; $25 for both.____ DAY 1 – Everyone Can Be Creative! 7:15 a.m. – 8:00 a.m. Registration**7:30 a.m. – 8:30 a.m. Registration* 8:00 a.m. – 8:10 a.m. Welcome/Formation8:30 a.m. – 8:45 a.m. Welcome/Overview 8:10 a.m. – 8:45 a.m. Physical Training (PT)9:00 a.m. – 11:55 a.m. 8:45 a.m. – 10:30 a.m. Enroute to Training Area ___ Craft Round Robin (3 projects) ___ Self Defense BasicsOR 10:30 a.m –12:15 a.m. Enroute to Training Area9:00 a.m. – 10:15 a.m. ___ Tasty Arrangements ___ Jewelry Making Basics 1** 12:15 p.m. – 12:45 p.m. Lunch on site10:30 a.m. – 11:45 a.m. 12:45 p.m. – 2:30 p.m. Enroute to Training Area ___ Casual/Elegant Table Settings ___ Jewelry Making Basics 2** 2:30 p.m. – 4:15 p.m. Enroute to Training Area12:00 p.m. - 1:30 p.m. Lunch – Lafayette Room 4:15 p.m. – 4:30 p.m. Return to Soldier Support1:45 p.m. – 4:30 p.m. Center ___ Craft Round Robin (3 more projects!) ___ Tips for a Better Home/Garden 4:30 p.m. – 5:00 p.m.OR All – Final Formation/Dismissal1:45 p.m. – 3:00 p.m. *Times are approximate. ACTUAL SCHEDULE WILL BE ___ Line Dancing SENT TO PARTICIPANTS VIA EMAIL PENDING FINAL ___ Easy Cupcake Decorating COORDINATION WITH UNITS/FACILITIES; requires completion of Release of Liability; participants must be able to participate the entire day or arrange own3:15 p.m. –4:30 p.m. transportation. ___ Zumba ___ Handmade Book Purses **Child care open at 7:15 a.m. for drop off*Child care opens at 7:30 a.m. for drop-off SHIRT SIZE FOR DAY 2 ONLY! __________ (T-shirts are men’s sizes S-2XL only – every effort is made to provide size requested. Sizes are NOT FOR OFFICE USE ONLY guaranteed if registration is after April 27.Date Form Received ___________________________Staff Initials __________________________________Amount Paid _____________Check/MO # _____________ DAY 2 – Soldier for ____________________Sponsor Unit/SSN on Check a Day*Day 1 _______ Day 2 _______ Both Days ______Release Form for Day 2 ________________________
  3. 3. Military Spouse Day Conference 2012 Workshop Descriptions9:00 a.m. - 11:55 a.m.Craft Round Robin – Complete three different craft projects – Rope Pots, Modge Bottles, & Beeswax Candles. Onceyou learn the basics, can easily be adapted for kids as well!9:00 a.m. - 10:15 a.m.Self Defense (Part I) - Designed to teach you basic self defense moves and how you can protect yourself should theneed arise. 2 parts – must sign up for both.9:00 a.m. - 10:15 a.m.Tasty Arrangements – Learn how to make centerpieces or small arrangements using fruits and vegetables that you canthen eat!Jewelry Making Basics (Part 1) - Ever see a great piece of beaded jewelry that you loved but wish it was different color,or a different length? Make it yourself after learning the basics of simple beaded jewelry to keep for yourself or give asgifts! 2 parts – must sign up for both.10:30 a.m. - 11:45 p.m.Self Defense (Part 2) - Continuation of Part 1 – must take both parts.Casual to Elegant Table Settings – Learn how to use what you already have to create casual to more elegant“tablescapes”!Jewelry Making Basics (Part 2) - Continuation of Part 1 – must take both parts.LUNCH – 12:00 p.m. – 1:30 p.m. – LAFAYETTE ROOM, FORT BRAGG CLUB1:45 p.m. - 4:30 p.m.Craft Round Robin – Complete three more craft projects – Shadow Boxes, Flower Letter Blocks, & Shoe Herb Planters.Once you learn the basics, can easily be adapted for kids as well!Tips for a Better Home & Garden – Learn basic, simple repairs that you can handle on your own without having to callan expensive repairman such as leaking faucets, fuse boxes, etc.; and simple ideas to make outdoor work easier andmore productive.1:45 p.m. - 3:00 p.m.Line Dancing – Learn basic line dancing steps so you can be a part of the crowd at your next big event!Cupcake Decorating – Learn basic techniques and simple ideas for decorating cupcakes.3:15 p.m. - 4:30 p.m.Zumba – it’s not about having perfect form – it’s all about getting a good workout and having fun!Handmade Book Purses – Transform a hardback book into a purse you can use everyday!
  4. 4. RELEASE OF LIABILITY Data Required by the Privacy Act of 1974Prescribing Directive: 10 USC 2733, 28 USC 2671-2680, AR 27-20Authority: Title 10, USC 3012. Principal Purposes: To release the United States Government, Department of the Army,XVIII Airborne Corps, Installation Management Agency, Fort Bragg, and the agents and employees thereof from any andall liability arising from or incident to participation in the 2012 Military Spouse Day Conference workshop activities and/or“Soldier for a Day” event.Mandatory or Voluntary Disclosure and Effect on Individual Not Providing Information: Voluntary; however, if informationis not provided, participation in the 2012 Military Spouse Day Conference workshop activities and/or “Soldier for a Day”event.************************************************************************************************************************ In consideration of the permission extended to me by the United States, through its agents, to participate in the 2012Military Spouse Day Conference workshop activities and/or “Soldier for a Day” event, I __________________________(print name) agree to release and hold harmless in the United States Government, the Department of Defense, the UnitedStates Army, Fort Bragg and the agents and employees thereof from any and all liability for personal injury, death,property damage or loss, or any other loss resulting from or arising out of my participation in the 2012 Military Spouse DayConference workshop activities and/or “Soldier for a Day” event on Fort Bragg, North Carolina. Participation in the 2012 Military Spouse Day Conference workshop activities and/or “Soldier for a Day” event mayinclude, but is not limited to the risk of death or serious injury such as cuts, burns, muscle strains or other injury resultingfrom the risks/hazards of physical training, engagement skills training, obstacle course, 34 foot jump tower, airborneoperations, and other related activities; or the conduct of other participants, including their negligence or willfulmisconduct. Please note that spouses who are pregnant or suspect they may be pregnant may NOT participate inthe Soldier for a Day event. I certify that I will abide by all safety rules and the direction of the 2012 Military Spouse Day Conference workshopactivities and/or “Soldier for a Day” event staff. I further acknowledge that failure to abide by all safety rules and thedirection of the 2012 Military Spouse Day Conference workshop activities and/or “Soldier for a Day” event staff may resultin my being disqualified from participating in the 2012 Military Spouse Day Conference workshop activities and/or “Soldierfor a Day” event on Fort Bragg. I also agree to release the United States, the Department of Defense, and the United States Army from any and allliabilities, claims and causes of action, based on or arising from negligence or gross negligence on the part of the UnitedStates Army, Department of Defense, Fort Bragg, and its agents and employees. I acknowledge that I have read and understand the provisions of this release and understand that it is binding uponmyself and my assigns, heirs, executors, beneficiaries, family members, and derivative claimants. I further acknowledgethat I am over the age of 18 and have no medical history or condition that would preclude me from participating in the2012 Military Spouse Day Conference workshop activities and/or “Soldier for a Day” event on Fort Bragg._____________________________________________Date_____________________________________________________________________________________________Printed Name of Participant_____________________________________________________________________________________________Signature of ParticipantDate Received _______________________________________ Staff Member __________________________________________

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