REGISTRATION
I wish to register for FREE conference attendance on: Thursday Friday Saturday
I wish to attend the Evening Reception(s) on: Thursday ($15) Friday ($50)
Name
First Last
Organization
Organization Name
Do you respresent a Certified Local Government? Yes
Name of Certified Local Government
Address
Street Address
Address Line 2
City
State Zip
Email
Email Address
Verify Email Address
Phone
Work Home
Mobile Fax
Credit Card Info
Credit Card Number Expiration Date
Sorry, AmEx and Discover are not accepted.
Name On Card Security Code
Scholarships are available for those who qualify.

Who is eligible for a scholarship?
Scholarships may be available to people who live in Katrina-affected counties. These include Baldwin, Bibb, Choctaw, Clarke, Colbert, Cullman, Greene, Hale, Jefferson, Lamar, Lauderdale, Marengo, Marion, Mobile, Monroe, Perry, Pickens, Sumter, Tuscaloosa, Washington, Wilcox, and Winston. You must also live more than 50 miles from Mobile.

What does the scholarship cover?
Scholarships are available to cover lodging at the conference rate at the Battle House Hotel. Lodging must be at the conference hotel, unless no rooms are available. Go ahead and make your room reservations now, and register for the conference.

What days does the scholarship cover?
Wednesday night, August 11 through Friday night, August 13th. You must be registered for the conference on the days you receive a scholarship. Awards will be made on a first-come, first-served basis with registration.

How do I apply for a scholarship?
Register for the conference and make your hotel reservations. Check the box below before submitting this form.

How do I reserve a room?
Go to www.rsabattlehouse.com. Reserve the room with your credit card. At check out the room charge will be paid by the conference. All other charges will be billed to your credit card.
I live more than 50 miles away from downtown Mobile, AL and I wish to be considered for scholarship funds.
 

The activity that is the subject of this training has been financed in part with Federal funds from the National Park Service, U.S. Department of the Interior.