Conference Registration Form (Canadian Currency)

**We temporarily cannot take Canadian Currency online by credit card. You can still register but the payment options below will be to pay by Interac e-transfer or check**

If you are NOT a resident of Canada, click here for the US registration form.

More information:

PLEASE NOTE: If you are not sent to a confirmation web page after clicking the Submit button, you must fix any highlighted fields and click submit again. You will receive an immediate email confirmation of your registration from [email protected].

Contact Families Rising if you have questions about your registration.

"*" indicates required fields

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Note to form maker. The starting instructions are on the web page so don't include them here.

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I am a/an

Check all that apply to the attendees on this registration form.

a Minnesota adoptive, foster, or kinship parent

a Minnesota adoption or child welfare professional

a Minnesota professional who serves adoptive, foster, or kinship families

none of the above

Based on your response "none of the above," you are not eligible to receive the Kansas DCF scholarship. You can check with NACAC at [email protected] to see if there are other scholarships you are eligible for or complete a regular registration form at: https://wearefamiliesrising.org/2023-nacac-conference-registration-form-us/

Registrant*

Enter your name and agency/organization as you want them to appear on your nametag.

First Last

Agency/Organization (if applicable)

Email*

Provide the email address you will use to log in to the online conference. Your confirmation will be sent to this email.

Enter Email Confirm Email

Address*

If your address is in NOT in Canada, go to the top of the page and click on the 'US registration form' to pay in US currency.

Street Address City State / Province / Region ZIP / Postal Code Country

The country in your address is not Canada (or left blank). All rates on this form are charged in Canadian currency. If you do not reside in Canada, please scroll to the top and choose the "US and non-Canadian registration form" instead to pay in US currency.

This address is my:*

Office

Home

Phone*

Administrative Email

To send a duplicate copy of your registration receipt to someone else enter a different email address below. This is for an administrative assistant or a financial contact and is usually left blank.

Parenting Partner*

I have a parenting partner registration to enter (only for couples who are or will be raising a child together and will be viewing the sessions together). There is no additional fee for parenting partners who are watching the sessions together.

yes

Parenting Partner Information

If your parenting partner will be watching with you, enter their name below. You will receive only one unique sign-on to the first email address.

First Last

Partner Email

Partner Organization (if applicable)

I am a/an:

Check all that apply to you.

Adoptive or foster parent

Kinship care provider

Adoption or child welfare professional

Adoptee or person who has been in foster care

Prospective adoptive or foster parent

Birth parent whose child was adopted or in care

Other (please specify below)

Other

The 2nd registrant is a/an:

Check all that apply to your parenting partner.

Adoptive or foster parent

Kinship care provider

Adoption or child welfare professional

Adoptee or person who has been in foster care

Prospective adoptive or foster parent

Birth parent whose child was adopted or in care

Other (please specify below)

Other option (for parenting partner)

Race/ethnicity (optional)

Check all that apply.
Why are we asking? As part of our diversity and equity work, Families Rising is seeking to serve people who represent the diversity of the child welfare community.

American Indian or Alaskan Native

Asian / Pacific Islander

Black or African American

Hispanic or Latino/a/x

Middle Eastern / North African

Mixed Race or Biracial

White

Other

Prefer not to answer

Other ethnicity

Race/ethnicity 2nd registrant (optional)

Check all that apply for parenting partner.

American Indian or Alaskan Native

Asian / Pacific Islander

Black or African American

Hispanic or Latino/a/x

Middle Eastern / North African

Mixed Race or Biracial

White

Other

Prefer not to answer

Other ethnicity (for parenting partner)

Is this your first Families Rising (previously NACAC) conference?

yes

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Do you need any accommodations (such as closed captioning or ASL interpretation) to participate in the online Families Rising conference?

yes

Please let us know the accommodations you need*

Membership*

Families Rising members receive a discount on regular conference registration fees. If you are not a current member, you can apply for or renew your membership now and use the discounted rate.

I am not a Families Rising member

I would like to join today or renew an expired membership

I am a current Families Rising individual/family member

I work for a current organizational or national/corporate member

I represent a group that is a current Families Rising parent group or enhanced parent group member

Enter the group or organization name and/or member number of your current Families Rising membership.

Join or Renew Families Rising Membership*

Rates are charged Canadian currency.

$45 Individual/family membership (discount for one individual or couple)

$45 Parent group membership (discount for one individual)

$200 Organizational membership (discount for up to 20 employees)

$200 Enhanced parent group membership (discount for up to 20 parent affiliates)

$1000 National/corporate membership (discounted registration for all employees)

Join or Renew Families Rising Membership

Rates are charged Canadian currency.

$50 Individual/family membership (discount for one individual or couple)

$50 Parent group membership (discount for one individual)

$220 Organizational membership (discount for up to 20 employees)

$220 Enhanced parent group membership (discount for up to 20 parent affiliates)

$1100 National/corporate membership (discounted registration for all employees)

Registration Type and Fees

Rates are the same whether attending for 1 or 2 days.

For current Families Rising members (including those who just joined above):
• $160

Nonmember rate:
• $200

All rates are charged in Canadian currency.

Presenter

I have received confirmation from Families Rising that I am presenting a session at the conference.

Presenter Registration

Presenters who are current members of Families Rising can attend at no additional cost. If you need to join Families Rising or renew your membership, please use the Membership section above.

Choose your conference attendance below, marking each day that applies (unless you prefer to pay a registration fee (which we will gratefully accept) by unclicking the Presenter "I have received confirmation..." box).

Presenters attending only their own session do not need to pay membership or registration fees.

Attending Wednesday July 17

Attending Thursday July 18

Attending only my own session

To complete your registration please change your membership choice above to join/renew, let us know you are current, or let us know what organization your membership is through. If you are attending only the session you are presenting, you can leave your membership choice as is.

Lived Expertise

I was adopted, in foster care, or in kinship care as a child or youth and would like the lived expertise discount.

Check this box if you spent time in foster care or kinship care or were adopted to receive a 30% discount OR if a parent partner listed on this form spent time in foster care or kinship care or was adopted. This discount recognizes the invaluable insights gained from firsthand experience navigating these unique journeys. The discount will be applied to registration fees, excluding membership fees.

Registration Fee*

Rates are charged Canadian currency.

$160 member rate

Registration Fee*

Lived expertise rate. Rates are charged Canadian currency.

$112 member rate

Registration Fee*

Rates are charged Canadian currency.

$200 nonmember rate

Registration Fee*

Lived expert rate. Rates are charged Canadian currency.

$170 nonmember rate

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Registration Fee Other

Other

Workshop Selections

Select the workshops you are most likely to attend. Registering for specific workshops helps us to assign the right-sized zoom account. You are not bound to your workshop choices and can go to other sessions. Note: Keynotes are not listed here as there is only one session at the time. Keynotes will run from 10:30 am - 11:45 am and 3:45 – 5:00 pm each day.

All times are listed in central time zone.

Period 1: Wednesday, 9:00 - 10:00 am

1A — Together is Better: Building Collaborative Relationships between Caregivers and Educators

1B — Intentionality: The Key to Foster Parent Recruitment and Retention

1C — Why Isn't Therapy Working?

Period 2: Wednesday, 12:15 – 1:30 pm

2A — Using a Brain-First Approach to Parenting Children with FASD and other Neurobehavioral Challenges

2B — From Vision to Action: Building a Culture Centered on Kinship

2C — Positive Identity Development for Transracial/Transcultural Composed Families

Period 3: Wednesday, 2:00 – 3:15 pm

3A — The Longest Relationship of our Lives: Maintaining Sibling Relationships through Foster Care, Permanency, and Beyond

3B — Strategies for Authentically Engaging Children and Youth in Care

3C — Prepare, Assist, and Maintain Diverse Leaders in the Child Welfare Workforce

Period 4: Thursday, 9:00 – 10:00 am

4A — Brainspotting: Empowering Therapy Tool

4B — SOUL Family: Enhancing the Permanency Continuum for Teens in Foster Care

4C — Supporting Before Understanding: The Process of Being There for Your LGBTQ+ Youth

Period 5: Thursday, 12:15 – 1:30 pm

5A — Making Sense of Meltdowns

5B — Family Support in Permanency and Prevention: A Systems Look at the Needs, Gaps, and Opportunities

5C — A Shield of Sovereignty: Understanding the Indian Child Welfare Act

Period 6: Thursday, 2:00 – 3:15 pm

6A — Launching Differently: Parenting Adults Who Experienced Trauma As Children

6B — Nurturing the Child Welfare Professional: Practical Tips to Combat Secondary Stress

6C — Kinship Care Is Hard (But Worth It)! Exploring Trauma in Kinship Families and Strategies that Promote Healing

Payment

Total

Payment Method*

Please choose the method of payment that you or another party (your organization, etc.) is making on your behalf.

Interac e-transfer

Agency Check or Purchase Order

Personal Check

No Payment Due

Part of a Designated Group

To pay by Interac e-transfer, use the email address [email protected] and in the Message field, include the reason for payment, including name(s) of who you are paying for if it is different than the person generating the payment.

Why is no payment due?*

(Please note, if your agency or another entity is paying the registration at a later date, choose "Agency Check or Purchase Order" above as the payment method instead of "No Payment Due".)

I am a presenter and I or my organization have a current Families Rising membership

Other reason

In the box below, tell us why no payment is due.*

(If your agency or another entity is paying the registration at a later date, choose "Agency Check or Purchase Order" above as the Payment Method instead of "No Payment Due" so we get the right information.)

Designated Group Code*

This payment type is for registrants who have been given a specific code. If you were given a code, enter it below. If you do not have a code, choose a different payment type above. If your agency or another entity is paying the registration at a later date, choose "Agency Check or Purchase Order" above as the Payment Method.

Make checks out to Families Rising and mail to:
Families Rising
2380 Wycliff Street, Suite 200-11
Saint Paul, MN 55114

Payor Name*

What is the name of the agency staff who will be generating (or responsible) for the payment?

Payor Organization

Payor Email*

Payor Phone Number

Anything you would like us to know about this registration or payment?

(if no, leave blank)

If you are not already on Families Rising's email list, should we add you to receive periodic emails with news and updates?*

yes

Credit Card*

Please check if you have activated a Stripe feed for your form.

You will receive an email confirmation of your registration and payment.

Please Note

If you are not re-directed to a confirmation web page after you click on the Submit button, you have NOT successfully registered. Scroll through the page to determine what information is missing and re-submit. You will receive an immediate email confirmation of your registration and payment.

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Comments

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