2021 Summer Leadership Conference Registration Form Ponte Vedra Inn & Club, Ponte Vedra Beach, Florida Wed, July 21 – Fri, July 23, 2021 2021 Summer Leadership Conference Registration Name * First Last * Last Company Billing Address * Billing Address 2 City * State * Zipcode * **The physical address is the same as the billing address. No Yes Physical Address 1 Physical Address 2 City State Zipcode Office Telephone Cell * Email * Attendees Please register those that will be attending with you. How Many Attendees In Your Group? * 12345678910 Attendee #1 Attendee #1 First Name First Name Last Name Last Name This attendee is my Spouse/Guest Child Child's Age 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475 Attendee #2 Attendee #2 First Name First Name Last Name Last Name This attendee is my Spouse/Guest Child Child's Age 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475 Attendee #3 Attendee #3 First Name First Name Last Name Last Name This attendee is my Spouse/Guest Child Child's Age 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475 Attendee #4 Attendee #4 First Name First Name Last Name Last Name This attendee is my Spouse/Guest Child Child's Age 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475 Attendee #5 Attendee #5 First Name First Name Last Name Last Name This attendee is my Spouse/Guest Child Child's Age 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475 Attendee #6 Attendee #6 First Name First Name Last Name Last Name This attendee is my Spouse/Guest Child Child's Age 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475 Attendee #7 Attendee #7 First Name First Name Last Name Last Name This attendee is my Spouse/Guest Child Child's Age 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475 Attendee #8 Attendee #8 First Name First Name Last Name Last Name This attendee is my Spouse/Guest Child Child's Age 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475 Attendee #9 Attendee #9 First Name First Name Last Name Last Name This attendee is my Spouse/Guest Child Child's Age 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475 Attendee #10 Attendee #10 First Name First Name Last Name Last Name This attendee is my Spouse/Guest Child Child's Age 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475 Accommodations Hotel arrangements have been made in your name via the GPF offices. Please note your preferred dates and accommodation details below. Laura Beth Brock will contact you to confirm your arrangements. Requested Arrival Requested Departure Room Type King Double Suite Adjoining Do you have special requirements? If so, please let us know what (i.e. rollaway bed, etc) Requested Location (preference of house, floor, etc) Note: All measures have been taken to accommodate your rooming request based on past preferences; however, Ponte Vedra Inn & Club is completely booked, and there is another large association conference overlapping ours. Also, many of the rooms that we have normally used are no longer available at the “traditional” pricing due to the Ocean House “renovation.” Because of all of this, Ponte Vedra is not able to guarantee guests with the identical accommodations from previous years. We appreciate your patience and understanding as we try to accommodate everyone’s preferences in a very tight rooming situation. Which activities will you attend? Thurs, July 22 @ 6:30am- Breakfast Buffet Yes No Thurs, July 22 @ 7:00am- General Session & Economic Update Yes No Thurs, July 22 @ 6:00pm- LAD Truck Lines Hospitality Reception Yes No Number of attendees Fri, July 23 @ 4:00pm- Board of Directors Meeting (this is GPF Board Only) Yes No Fri, July 23 @ 4:00pm– Brainstorming Session w/ Georgia Tech & Univ. of Georgia - This session is open to all industry attendees and partners Yes No Fri, July 23 @ 6:00pm– Cocktail Reception Yes No Number of attendees Friday, July 23 @ 6:30pm– Summer Reception (45 mins) Yes No Number of attendees Children? Yes No Golf Will you be playing golf? Thurs, July 22 @ 10:30am (Lagoon Course @ $149/player) Yes No Preferred Foursome/Players Fri, July 23 @ 8:00am (Ocean Course @ $199/player) Yes No Preferred Foursome/Players If you have questions please feel free to reach out to Laura Beth (770.532.0473 x103) at the office or via her cell (770.298.1926). We look forward to seeing you at the beach! reCAPTCHA If you are human, leave this field blank. Submit
