If you are mailing this form, please return this form with your check (Payable to Community College Baccalaureate Association) or credit card information to:
Angela M. Kersenbrock
Community College Baccalaureate Association
575 Lake Bingham Rd
Lake Mary, Florida 32746
If you pay by credit card, and do not want to use e-mail, scan your application and send by email.
Note: The conference registration fee includes Friday night's Opening Reception, Breakfast and Lunch on Saturday and Breakfast on Sunday.
AUDIO-VISUAL RELEASE ACKNOWLEDGMENT
CCBA will be recording voice and audio, as well as taking still images throughout the convention to document the great information and fun we'll have! By registering you consent to having CCBA use your image and recordings in internet or social media content or in other printed publications without further consideration and acknowledge CCBA’s right to crop or treat the video ad photographs at its discretion and to publish those images during the convention or at any later date.