LEADING FORWARD

TOGETHER

23RD ANNUAL

MEDICAL STAFF SYMPOSIUM

AUGUST 19-21, 2021

BOYNE MOUNTAIN RESORTBOYNE FALLS, MI

In early 2020, we selected Leading Forward Together as the theme for the June Symposium. Clairvoyance and prescience were not intended, but in March, the first known Covid-19 patient presented at Beaumont, Dearborn and the event had to be canceled. Since then, we have worked together as never before. Kindness, professionalism, courage, dedication and creativity were daily prerequisites for the survival of our patients, our families and each other. Leadership was no longer based on a title or assignment; it became a necessity for all of us in the hospital, in our offices, at home and in our communities. Staying together while keeping apart emerged as the new mantra. Fortunately, due to extraordinary commitment and innovation, we can finally reconvene in a beautiful setting to learn and laugh together. Once again, we have attracted an esteemed faculty, including Ora Pescovitz, M.D., the President of Oakland University. This year the program includes wide-ranging topics that are relevant, engaging and not focused on the pandemic. While the outstanding CME program changes every year, the enjoyment of participating in non-medical activities with colleagues and families remains the cornerstone of this event. In preparation, we recommend that you begin an exercise and diet program immediately! Please take advantage of this unique opportunity to spend a few days creating lifetime memories, reconnecting with old friends or making new ones (the kids always do). It’s time to get back to normal!

Hope to see you there.

Dave Forst Symposium Director

SYMPOSIUM PLANNING COMMITTEE

Muzammil Ahmed, M.D. Chief of Staff, Beaumont, Wayne; Assistant Clinical Professor, Urology, Wayne State University (WSU) School of Medicine

Amer Alame, M.D. Medical Staff President, Beaumont, Grosse Pointe; Colon Rectal Surgery, Beaumont, Grosse Pointe

Rodrigo Tobar, Jr., M.D. Medical Staff President, Beaumont, Farmington Hills; Family Medicine, Beaumont, Farmington Hills

Ghadi Ghorayeb, M.D. Chief of Staff, Beaumont, Taylor; Internal Medicine, Beaumont, Dearborn, Taylor and Wayne

David Peters, M.D. Chief of Staff, Beaumont Dearborn; Family Medicine, Beaumont, Dearborn

David Forst, M.D. Symposium Director; Cardiovascular Disease, Beaumont, Grosse Pointe, Royal Oak and Troy; Medical Staff President, Beaumont, Troy; Professor, Internal Medicine, Oakland University William Beaumont (OUWB) School of Medicine

Jill Schoenherr Administrative Assistant & Conference/Event Planner, Administration, Beaumont, Troy

James Robbins, M.D. Medical Staff President, Beaumont, Royal Oak; Associate Professor, Surgery, OUWB School of Medicine

Arash Armin, D.O. Chief of Staff and Chief, Emergency Medicine, Beaumont, Trenton; Emergency Medicine, Beaumont, Troy; Associate Clinical Professor, Michigan State University College of Osteopathic Medicine (MSUCOM)

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TO THE 2021 MEDICAL STAFF

SYMPOSIUM

WELCOME

SYMPOSIUM/EVENT OVERVIEWThe Medical Staffs of Beaumont Health are hosting a weekend symposium designed to promote the continuing education and well being of Beaumont physicians and advance practice providers. In addition to the presentation of interesting medical topics, social activities are planned.

EDUCATIONAL CONFERENCEThe 23rd Annual Symposium is your source for cutting-edge information, best practices and national guidelines that cover a wide variety of medical topics.

WHO SHOULD ATTENDMedical Staff members, advance practice providers, fellows, residents, medical students and administrative leaders of Beaumont Health.

FACULTY DISCLOSUREAll speakers and members of the planning committee have been asked to disclose any significant relationships with commercial companies. This will be disclosed at the time of the meeting.

GLOBAL AND EDUCATIONAL OBJECTIVESBy attending the educational sessions, the participants should be better able to:1. Recommend the use of new drugs to alleviate the cardiac and renal manifestations of diabetes.2. Describe the skills necessary to lead and succeed.3. Assess the importance of diversity and inclusion in the workplace.

EVALUATION FORMAll participants wishing to receive CME credit for these sessions will be required to complete an online CME Evaluation Form.

CME ACCREDITATION AND CREDIT DESIGNATION

Allopathic Continuing Medical Education

In support of improving patient care, Beaumont Health is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Beaumont Health designates this live activity for a maximum of 8.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Osteopathic Continuing Medical Education

Beaumont Health is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians.

Beaumont Health designates this program for a maximum of 8.25 AOA Category 1-A credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.

Other Healthcare Clinicians

Non-physician professionals should check with their individual credentialing bodies to confirm that participation in this CME activity will be approved for credit. CME credits can be used to meet the continuing education requirements needed for Michigan physician assistant and nursing relicensure without limitation.

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CME OVERVIEW

CONFERENCE REGISTRATIONPlease see the enclosed Conference Registration forms or go online to providers.beaumont.org/symposium.

REGISTRATION OPTIONS:

PHONE: 248-964-1063 FAX: 248-964-8842 ONLINE: providers.beaumont.org/symposium MAIL: Beaumont, Troy Administration 44201 Dequindre Road Troy, MI 48085

For questions please contact Jill Schoenherr at jill.schoenherr@beaumont.org

LODGINGA block of rooms has been reserved at Boyne Mountain and is being held until July 18. Please call, mail or fax your reservation request using the enclosed registration form. Please be sure to mention “Beaumont Health” when reserving your overnight accommodations in order to receive our negotiated rate. You can also make hotel reservations online at BoyneMountain.com. Please enter the Group Code 13T6Q8 to receive our discounted rates.

REGISTRATION & LODGING

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Ilana Kutinsky, D.O.Cardiovascular Disease and Cardiac Electrophysiology, Beaumont, Royal Oak and Troy; Associate Professor, Internal Medicine, OUWB School of Medicine

Ora Pescovitz, M.D.President, Oakland UniversityPediatric EndocrinologistProfessor of Biological Sciences, Pediatrics, OUWB School of Medicine

Rocky Saenz, D.O.Chairman, Diagnostic Radiology and Director of MRI, Beaumont Farmington Hills; Assistant Program Director, Diagnostic Radiology; Residency Clinical Assistant Professor, Michigan State University

David Forst, M.D.Cardiovascular Disease, Beaumont, Grosse Pointe, Royal Oak and Troy; Medical Staff President, Beaumont Troy; Professor, Internal Medicine, OUWB School of Medicine

Amer Alame, M.D. Colon and Rectal Surgery, Beaumont, Grosse Pointe; Medical Staff President, Beaumont, Grosse Pointe

Jaime Hope, M.D.Emergency Medicine, Beaumont, Royal Oak; Assistant Professor, Emergency Medicine, OUWB School of Medicine

Joseph Guettler, M.D.Orthopaedic Surgery, Beaumont, Royal Oak; Assistant Fellowship Director, Beaumont Orthopaedic Sports Medicine Program; Associate Professor, OUWB School of Medicine

Barry Franklin, Ph.D.Director, Preventive Cardiology and Cardiac Rehabilitation, Beaumont, Royal Oak; Professor, Internal Medicine, OUWB School of Medicine

Kenneth Eichenbaum, M.D.Anesthesiology, Beaumont Health; Assistant Professor, Anesthesiology, OUWB School of Medicine

Michael Brennan, D.O.Endocrinology & Metabolism, Beaumont, Grosse Pointe, Royal Oak and Troy; Director, Beaumont Endocrine Center and Section Head of Endocrinology, Beaumont, Grosse Pointe; Assistant Professor, Internal Medicine, Oakland University William Beaumont (OUWB) School of Medicine; Clinical Assistant Professor, Osteopathic Medical Specialties, MSUCOM

Deirdre Pitts, Ph.D.Associate Dean for Academic, Faculty Affairs, Diversity & Inclusion, OUWB School of Medicine

Geoffrey Williams, M.D., Ph.D.Professor of Medicine, Psychiatry and Psychology, University of Rochester Medical Center

FACULTY SYMPOSIUM SPEAKERS

FRIDAY, AUGUST 20 6:30 to 8:30 a.m. BREAKFAST BUFFET

8:30 a.m. to 9 p.m. OPTIONAL ACTIVITIES*

EDUCATIONAL SYMPOSIUM7:30 to 7:45 a.m. Welcome & Introductions David Forst, M.D.

7:45 to 8:15 a.m. Diabetes: Getting to the Heart of the Matter Michael Brennan, D.O.

8:15 to 9:15 a.m. Radiology Potpourri Rocky Saenz, D.O.

9:15 to 9:30 a.m. BREAK

9:30 to 10:30 a.m. GPS for Success: Keeping it Kind Barry Franklin, Ph.D. David Forst, M.D.

10:30 to 11 a.m. Motivation, Mark Twain and Medicine Geoffrey Williams, M.D., Ph.D.

11a.m. to 12 p.m. Moving from Diversity to Inclusion Deirdre Pitts, Ph.D.

12 to 1 p.m. LUNCH BUFFET

5 to 8 p.m. FAMILY BBQ* (Dinner will be served at 6 p.m.)

8 to 9 p.m. FAMILY OLYMPICS*

THURSDAY, AUGUST 19 6:30 to 8 p.m. WELCOME RECEPTION

SATURDAY, AUGUST 21 6:30 to 8:30 a.m. BREAKFAST BUFFET

8:30 a.m. to 9 p.m. OPTIONAL ACTIVITIES*

EDUCATIONAL SYMPOSIUM7:25 to 7:30 a.m. Introductions David Forst, M.D.

7:30 to 8 a.m. Minimally Invasive Abdominal Surgery Amer Alame, M.D.

8 to 8:30 a.m. Medical Practice: The View from Wall Street Kenneth Eichenbaum, M.D.

8:30 to 9 a.m. Atrial Fibrillation Today Ilana Kutinsky, D.O.

9 to 9:15 a.m. BREAK

9:15 to 10 a.m. Kids and Sports: Back in the Game Again Joseph Guettler, M.D.

10 to 10:30 a.m. The Masks Are Off: Now What? Jaime Hope, M.D.

10:30 to 11 a.m. Endocrine Pearls for Everyday Practice Michael Brennan, D.O.

11 a.m. to 12 p.m. Leading in Challenging Times Ora Pescovitz, M.D.

6 to 9 p.m. KIDS DINNER AND ACTIVITIES*

6 to 9 p.m. COCKTAIL RECEPTION, DINNER & TEAM TRIVIA*

*Please see pages 6 and 7 for information about Beaumont Sponsored Optional Activities.

For CME questions contact Jessica Rice at 947-522-1843 or cme@beaumont.edu

Agenda and number of CME credits available are subject to change.

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Teens and spouses invited!

Teens and spouses invited!

Teens and spouses invited!

FRIDAY, AUGUST 206:30 to 8:30 a.m. BREAKFAST BUFFETJoin us for a complimentary breakfast buffet for all conference attendees and their families in Stein Ericksen’s.No charge, however registration is necessary.

8:30 to 11:30 a.m. ZIPLINE ADVENTURE TOURDue to popular demand, this year we will be running two zipline sessions. This tour features a series of 10 lines that travel up to 4,300 feet, 20-25 mph, up to 50 feet in the air and 780 feet in length! The adventure begins at the top of the mountain and routes you through trees across the slopes of Boyne Mountain. This activity can accommodate a maximum of 15 participants per session and will be admitted on a first come, first served basis. All efforts will be made to keep family members together based on the number of openings for each session. Participants in this activity must exceed 60 pounds. $60 per person

8:30 to 10:15 a.m.SEGWAY TOURExperience Boyne Mountain as never before with a resort tour on a Segway! You’ll cruise with your guide on a tour enjoying the trail system and taking in the wonderful vistas of Boyne Valley and Northern Michigan! Participants must be 14+ years old and weigh between 100 and 260 pounds to participate. A maximum of 7 can participate and will be admitted on a first come, first served basis.$65 per person

9:30 to 11:30 a.m. COOKIES & CANVASChildren and adults of all ages are welcome to join us for Cookies and Canvas! Younger children will need the assistance of their parents. Once a child has reached school age they can independently follow along, however this is always up to the parents’ discretion. This activity is suitable for children 6+ years old.$30 per child

10:45 to 11:15 a.m.I SPYWe’ll provide a list of things to find on the property and keep the little ones entertained, even if it’s just for a short time! This activity is suitable for kids 3-5 years old. Parents are encouraged to participate. No charge

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OPTIONAL ACTIVITIES

THURSDAY, AUGUST 196:30 to 8 p.m. WELCOME RECEPTION

12 to 1 p.m. LUNCH BUFFETJoin us for a complimentary lunch buffet for all conference attendees and their families in Stein Ericksen’s.No charge, however registration is necessary.

1 to 4 p.m. RAFTING ON THE JORDAN RIVERThis 1½ hour rafting trip will take you through the pristine scenery of the Jordan River. Rafts can accommodate 8-10 people. Attire and shoes that can get wet are suggested. Sunscreen, bug spray and towels are also recommended. Lifejackets are required and will be provided. Rafting will take place unless there is severe weather in the area. This activity can accommodate a maximum of 60 participants. Admission will be admitted on a first come, first served basis.This activity is suitable for children 5+ years old. $30 per person (10+ years old)$20 per child (5 to 9 years old)

1:30 p.m. GOLF ON THE “ALPINE”From its elevated start to its finish at the 18th hole, The Alpine trends down the mountainside presenting a diverse array of hazards and a layout that tests every aspect of your game. Fair warning: once you’ve golfed on The Alpine, you’ll want to play it again. We have secured tee times for 8 golfers.$83 per person

5 to 8 p.m.FAMILY BBQBounce houses, virtual reality, henna tattoos and other interactive activities are planned for the kids. Casual dress and a cash bar. Dinner will be served at 6 p.m.$35 per person (12 years old and older)$15 per child (4 to11 years old)No charge (children under 4 years old)

8 to 9 p.m. FAMILY OLYMPICSShow your team spirit in the Family Olympics with zany games and relays. There is no charge for this activity and persons of all ages are encouraged to participate! If you haven’t been to the Symposium, this is the activity of the weekend that is most remembered year after year. If you’re debating about participating, we suggest you just go for it! Please be sure to fill out the optional activities brochure with the name of each participant and their t-shirt size. T-shirts MUST be ordered on Friday, July 30 and can only be guaranteed for registrations received by the close of business on Friday, July 30. No charge, however registration is necessary.

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SATURDAY, AUGUST 21 6:30 to 8:30 a.m. BREAKFAST BUFFETJoin us for a complimentary breakfast buffet for all conference attendees and their families in Stein Ericksen’s.No charge, however registration is necessary.

8:30 to 11:30 a.m. ZIPLINE ADVENTURE TOURParticipants in this activity must exceed 60 pounds. This activity can accommodate a maximum of 15 participants and will be admitted on a first come, first served basis.$60 per person

8:30 to 10:15 a.m.SEGWAY TOURParticipants must be 14+ years old and weigh between 100 and 260 pounds to participate. A maximum of 7 can participate and will be admitted on a first come, first served basis.$65 per person

9:30 to 11 a.m.HORSEBACK TRAIL RIDESaddle up! Horseback riding at Boyne Mountain is a special way to get outside and experience the natural splendor of northern Michigan. Participants must be 8+ years old and cannot exceed 150 pounds. A maximum of 5 can participate and will be admitted on a first come, first served basis.$58 per person

10:30 to 11 a.m.ARTS ‘N CRAFTSWe’ll provide supplies and you provide the artistic talent! This activity is suitable for kids 3-5 years old. Parents are encouraged to participate. $5 per person

12 to 1 p.m. LUNCH BUFFETJoin us for a complimentary lunch buffet for all conference attendees and their families in Stein Ericksen’s.No charge, however registration is necessary.

6 to 9 p.m. DINNER & A MOVIEA child-friendly meal will fill the tummies of the youngsters before they experience the joy of making their own sundaes and enjoy a kid-friendly movie. This activity is suitable for children 3 to 6 years old. $25 per child

6 to 9 p.m. AVALANCHE BAY PIZZA PARTYPizza, chips and soda will provide some nourishment before they’re let loose in the Avalanche Bay Indoor Waterpark! This activity is suitable for children 7+ years old.$30 per child

6 to 9 p.m. PAINTBALLFill up on Trophy Room pizza and then don camo, load up on ammo and have some fun! Boyne Mountain has joined forces with T.C. Paintball — northern Michigan’s largest, most knowledgeable paintball experts — to open the area’s newest, most exciting paintball field. So recruit your friends, gather your gear and get ready for a battle to remember. This activity is suitable for children 10+ years old. $50 per child

6 to 9 p.m. COCKTAILS, DINNER & TEAM TRIVIADrop off the kids and meet your colleagues at the cash bar cocktail hour followed by a sit down dinner. Afterwards participate in a team trivia competition with your table mates. Who was the first President on a U.S. coin? How many colors in a rainbow? The questions and repartee will make this an evening to remember. The conference registration fee includes 2 complimentary tickets. $50 per additional ticket

PREREGISTERED ACTIVITIESIt is very important to register for activities in advance as the staff at Boyne must prepare for the number of participants a few days prior to the conference. Due to space constraints and advance preparations by Boyne we cannot guarantee that on-site registration/participation will be available.

PLAYCARE/BABYSITTING SERVICES Advance reservations required. Certified and highly trained instructors will care for children ages 3 months to 5 years. In-room babysitting services are also available. Full-day, half-day and hourly rates available. For more information, visit: boyne.com

AGE RESTRICTIONS If you have more than one child and want to keep them together, you should register all of your children for the activity that is most suited for the youngest child. Younger children will not be able to partake in activities that are above the designated age bracket.

NON-PROFITU.S. POSTAGE

P A I DROYAL OAK, MI PERMIT #404

Medical Administration 44201 Dequindre Road Troy, MI 48085-1198

2021 MEDICAL STAFF SYMPOSIUM

THURSDAY | AUGUST 19 | WELCOME RECEPTIONTHROUGH

SATURDAY | AUGUST 21 | ENDING 9 P.M.

JOIN US

BOYNE MOUNTAIN RESORTBOYNE FALLS, MI

23rd Annual Medical Staff Symposium Registration

MAIL: Beaumont Hospital, Troy QUESTIONS? 44201 Dequindre Road PHONE: 248-964-1063

Administration/Jill Schoenherr EMAIL: jill.schoenherr@beaumont.org

Troy, MI 48085 WEBSITE: providers.beaumont.org/symposium

FAX: 248-964-8842 (please fax both sides of the registration forms)

First/Last Name Credentials

First Name (as preferred on name tag) PRIMARY Beaumont Hospital Affiliation

Street Address City, Zip

Phone #

Fax #

Email Address

Additional Family/Guest Names Age Dietary restrictions Additional Family/Guest Names Age Dietary restrictions

If you are registering for 10 or more guests please provide the above information on a separate sheet of paper

The Full 2-day Educational Symposium registration fee includes:

• Family welcome reception, Thursday • Family breakfast and lunch, Friday • Family breakfast and lunch, Saturday

• Family Olympics, Friday • Reception, dinner and team trivia, Saturday

CANCELLATION POLICY: CANCELLATION POLICY: Cancellations must be received by Friday, June 12. Due to contractual obligations to Boyne Mountain and other vendors we will not be able to honor refunds for no-shows, cancellations or changes after June 12.

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Registration Options

Main Contact

Family Members/Additional Guests

Registration Inclusions

Physician or Administrator Resident/Fellow/Advanced Practice Provider/Medical Student $300 per person $125 per person

$150 per spouse/adult guest $75 per spouse/adult guest

$50 per child 12 years & older $25 per child 12 years & older

N/C per child 11 years & under N/C per child 11 years & under

Physician or Administrator Resident/Fellow/Mid-Level Provider/Medical Student

_____ # of people @ $300 per person _____ # of adults @ $125 per person

_____ # of people @ $150 per person _____ # of people @ $75 per person

_____ # of children 12 years & older @ $50 per child _____ # of children 12 years & older @ $25 per child

_____ # of children 11 years & under @ N/C per child _____ # of children 11 years & under @ N/C per child

Registration Total __________ (Please carry this amount down to the Conference Registration Total below)

Physician or Administrator: Resident/Fellow/Mid-Level Provider/Medical Student: $150 per person $100 per person/adult

$75 per spouse/adult guest $50 per person

$35 per guest 12 years & older $15 per guest 12 years & older

N/C per child 11 years & under N/C per child 11 years & under

Physician or Administrator: Resident/Fellow/Mid-Level Provider/Medical Student:

_____ # of people @ $150 per person _____ # of adults @ $100 per person

_____ # of adults @ $75 per person _____ # of adults @ $50 per person

_____ # of children 12 years & older @ $35 per child _____ # of children 12 years & older @ $15 per child

_____ # of children 11 years & under @ N/C per child _____ # of children 11 years & under @ N/C per child

Registration Total __________ (Please carry this amount down to the Conference Registration Total below)

Check payable to: WBH, Troy Medical Staff Fund Credit Card: AMX MC Visa

Account #: 4-Digit Exp. Date:

Cardholder Name: _____________________________________________ Signature: ____________________________________________

Billing Address: _______________________________________________________________________________________________________ CANCELLATION POLICY: CANCELLATION POLICY: Cancellations must be received by Friday, June 12. Due to contractual obligations to Boyne Mountain and other vendors we will not be able to honor refunds for no-shows, cancellations or changes after June 12.

Conference Registration Total $

Total from Optional Activities Form $

Total Paid $

2-Day Registration Fees (Thursday evening, August 19 – Saturday evening, August 21)

1-Day Registration Fees (Friday, August 20 or Saturday, August 21)

Payment Method

23rd Annual Medical Staff Symposium Optional Activities Registration

In registering for optional activities, please be sure to include each participant’s name

First Name Last Name

Main Contact

Daily Optional Activities

THURSDAY, AUGUST 19 6:30 to 8 p.m. Welcome Reception

_____ # of Adults

_____ # of Kids 5+ years old

_____ # of Kids under 5 years old

Participants:

FRIDAY, AUGUST 20 6:30 to 8:30 a.m. Breakfast Buffet

_____ # of Adults

_____ # of Children 5+ years old

_____ # of Children under 5 years old

8:30 to 11:30 a.m. Zipline Tour*

_____ # of Participants @ $60/pp

Participants must be 60+ pounds. The activity can accommodate a maximum of 15 participants, which will be served first come, first served.

Zipline Total $_______

Participants:

8:30 to 10:15 a.m. Segway Tour+

_____ # of Participants @ $65/pp

Participants must be 14+ years old and weigh between 100 and 260 pounds to participate. A maximum of 7 can participate, and will be admitted on a first come, first served basis.

Segway Total $_______

Participants:

9:30 to 11:30 a.m. Cookies & Canvas

_____ # of Kids @ $30/pp

This activity is suitable for kids 6+ years old.

Cookies & Canvas Total $_______

Participants:

12 to 1 p.m. Lunch Buffet

_____ # of Adults

_____ # of Kids 5+ years old

_____ # of Kids under 5 years old

Participants:

1 to 4 p.m. Rafting on the Jordan River

_____ # of Participants 10+ years old @ $30/pp

_____ # of Kids 5 – 9 years old @ $20/pp

This activity is suitable for individuals 5+ years old and can accommodate a maximum of 60 participants, which will be served first come, first served

Rafting Total $_______

Participants:

Participants:

5 to 8 p.m. Family BBQ

_____ # of Participants 12+ years old @ $35/pp

_____ # of Kids 4 – 11 years old @ $15/pp

_____ # of Kids under 4 years old @ N/C

BBQ Total $_______

Participants:

1:30 p.m. Golf on the “Alpine”

_____ # of Participants @ $83/pp

This activity can accommodate a maximum of 8 golfers, which will be served on a first come, first served basis

Golf Total $_______

8 to 9 p.m. Family Olympics T-shirts: Adult: SM to 2XL Child: XS to XL

T-shirts will be guaranteed for all registrations received by Friday, July 30.

Participant Shirt size

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6.

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8.

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See reverse for Saturday activities

Advanced registration is highly recommended for all activities. Due to space constraints and limited availability we are unable to guarantee onsite registration for any activities.

10:45 to 11:15 a.m. I Spy

_____ # of Kids @ N/C

This activity is suitable for kids 3 – 5 years old.

Participants:

FRIDAY, AUGUST 20 (CONTINUED) FRIDAY, AUGUST 20 (CONTINUED)

Participants:

FINE PRINT: Advance registration is highly recommended for all activities. Due to space constraints and limited availability we are unable to guarantee onsite registration for any of the above listed activities.

Age restrictions - If you have more than 1 child and want to keep them together, you must register all your children for the activity that is most suited for the youngest child. Younger children will not be able to partake in activities that are above their intended age bracket.

* Zipline Adventure Tour – For safety reasons, participants under 60 pounds are not permitted on the zipline. + Segway Tour - Participants must be 14 years old and weigh between 100 and 260 pounds to participate. @ Horseback Trail Ride - Participants must be 8+ years old and cannot exceed 150 pounds.

CANCELLATION POLICY: CANCELLATION POLICY: Cancellations must be received by Friday, August 13. Due to contractual obligations to Boyne Mountain and other vendors we will not be able to honor refunds for no-shows, cancellations or changes after August 13.

SATURDAY, AUGUST 21 6:30 to 8:30 a.m. Breakfast Buffet

_____ # of Adults

_____ # of Kids 5+ years old

_____ # of Kids under 5 years old

Participants:

8:30 to 11:30 a.m. Zipline Tour*

_____ # of Participants @ $60/pp

Participants must be 60+ pounds. The activity can accommodate a maximum of 15 participants, which will be served first come, first served.

Zipline Total $_______

Participants:

8:30 to 10:15 a.m. Segway Tour+

_____ # of Participants @ $65/pp

Participants must be 14+ years old and weigh between 100 and 260 pounds to participate. A maximum of 7 can participate, and will be admitted on a first come, first served basis.

Segway Total $_______

Participants:

10:30 to 11:30 a.m. Arts ‘n Crafts

_____ # of Kids @ $5/pp

This activity is suitable for kids 3-5 years old

Arts ‘n Crafts Total $_______

Participants:

12 to 1 p.m. Lunch Buffet

_____ # of Adults

_____ # of Kids 5+ years old

_____ # of Kids under 5 years old

Participants:

6 to 9 p.m. Dinner and a Movie

_____ # of Kids @ $25/pp

This activity is suitable for kids 3 to 6 years old

Dinner & a Movie Total $_______

Participants:

6 to 9 p.m. Avalanche Bay Pizza Party

_____ # of Kids @ $30/pp

This activity is suitable for kids 7+ years old

AB Pizza party Total $_______

Participants:

6 to 9 p.m. Paintball Pizza Party _____ # of Kids @ $50/pp

This activity is suitable for kids 10+ years old

Beach Party Total $_______

Participants:

6 to 9 p.m. Reception, Dinner & Team Trivia Registration fee includes 2 complimentary tickets. Additional tickets available at $50/pp

_____ # of Complimentary tickets @ N/C

_____ # of Additional tickets @ $50/pp

Dinner Total $_______

Participants:

Optional Activities Total $__________ Please carry this total to the Conference Registration page

9:30 to 11 a.m. Horseback Trail Ride@

_____ # of Kids @ $58/pp

Participants must be 8+ years old and cannot exceed 150 pounds. A maximum of 5 can participate and will be admitted on a first come, first served basis.

Horseback Riding Total $_______

Participants:

SATURDAY, AUGUST 21 (CONTINUED) SATURDAY, AUGUST 21 (CONTINUED)

IMPORTANT! Please be sure to fill out all

complimentary meals and optional activities as they apply to your family.

This will allow us to ensure our conference runs efficiently.