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Attendee Registration Form
(Judges please contact CBF Administrator)

Please Note: Fields with * are required

First Name*:
Last Name*:
Badge Name: (Informal first name):
Firm or Business*:
Email*:
Assistant's Email (if applicable):
Street Address*:
City*:
State*:
Zip Code*:
Phone*:
Website:
CA State Bar No:
CA CPA No:
Are you applying for MCLE or CPE Credit? Yes      No
By registering for the Conference, I grant the program organizers permission to use my personal information for event management, event payment and recognition as an event attendee:Yes   No
                                                                                                
ADA Requests? Yes     No
If yes, please specify:
Dietary Food Restrictions? Yes     No
If yes, please specify:
Which meals do you plan to attend?* - If you select No, you will not receive a ticket at check-in for that meal.
Friday Roundtable Luncheon Yes      No
 If yes, please choose:
Meat   OR  Vegetarian
 
Friday ILC Reception Yes      No
 
Saturday Roundtable Breakfast Yes      No
 If yes, please choose:
Meat  OR Vegetarian
 
Saturday Dinner Yes      No 

There will be a variety of items to choose from that will accommodate any food preferences or allergies.
 

Sunday Brunch Yes      No

REGISTRATION FEES

**Conference Pricing Includes: Friday Judges Roundtable Luncheon • Saturday Roundtable Breakfast • Saturday Dinner • Sunday Brunch • All Refreshment Breaks • Educational Materials on USB Drive • Up to 17.75 Hours MCLE & CPE Credit • Entry to Friday Morning ABI Program & Saturday Afternoon Consumer Program • ILC Reception
 

Registration Type*
(Choose only 1)

Rate

Total

Attendee Registrant $995

Multi-Person/Firm Discount (3 or more) $849
First Time Attendee $695
YIP – Young Insolvency Professional
General Friday & Saturday education & meals plus Saturday afternoon programming
$695
Exhibitor Complimentary
Exhibitor Additional Staff $695
Law Clerk - Government Employee $595
Consumer Bankruptcy Program Only
Saturday 1:30 - 5:00pm
Included in all other registration types above
$125
 

Guests/Children
(Check all that apply)

   
Guest - Saturday Dinner & Sunday Brunch $325
Child (ages 3-12) - Sunday Brunch Only
 # of children 
$50
 

Educational Programs
Included in registration, but please indicate
if you will be attending by checking box
 

   
Substance Abuse Panel
Friday 8:00 – 9:00am
ABI Program
Friday 9:00 - 11:00am
Ethics Program
Consumer Bankruptcy Program
Saturday 1:30 – 5:00pm
 

Optional Activities
(Check all that apply, then enter number of tickets)

Yoga in the Movement Studio
Friday 8:00 – 9:00am
# of Tickets Requested 

$15

"East Meets West" Filipino Cooking Instruction
Friday 1:00 – 3:00pm
# of Tickets Requested 
$60
Zumba w/Judge Smith
Friday 9:30 - 10:30 AM
# of Tickets Requested 
Free
Yoga on the Agua Serena Vista Lawn
Saturday 10:00 – 11:00am

# of Tickets Requested 
$15
2016 CBF Golf Tournament at IWGR
Saturday 1:30 – 6:00pm
# of Tickets Requested 
$125
Ultimate Guacamole & Margarita "How-to"
Saturday 2:00 – 3:00pm
# of Tickets Requested 
$85
Tennis Clinic
Friday 8:00 – 9:30am at the Tennis Courts
# of Tickets Requested 
$40
Kids Tie Dye T-Shirt Making Activity
Friday 10:00 – 11:00am
# of Tickets Requested 
$15
Children’s Dinner & Activities Camp
Saturday 6:00 – 10:00pm
# of Tickets Requested 
$75

Guest Registration - If Applicable

*Guest Pricing Includes:
Saturday Dinner • Sunday Brunch

GUEST

CHILD (ages 3-12)

$325

$50

Guest First name:
Guest Last Name:
Guest Attending Saturday Dinner?: Yes     No
Guest Attending Sunday Brunch?: Yes     No
Child 1 First Name:
Child 1 Last Name:
Age:
Child 1 Attending Sunday Brunch?: Yes     No
Child 2 First Name:
Child 2 Last Name:
Age:
Child 2 Attending Sunday Brunch?: Yes     No
Child 3 First Name:
Child 3 Last Name:
Age:
Child 3 Attending Sunday Brunch?: Yes     No
PAYMENT INFORMATION
Registration/Activity Fees*:      
Optional Pro Bono Donation (Suggestion $10):  

Would you like to support the Pro Bono Charity of Choice, Riverside Legal Aid? Donations tickets are $25 or 5 for $100. Proceeds go directly to Riverside Legal Aid on behalf of CBF Pro Bono Project. We have some fun plans for your tickets, so help out a worthy cause and donate today while you register. Your donation tickets will be in your registration packet at the time of check in with an explanation of how to use them.
 
 Select Amount
               # of tickets 






 
Total Amount Due*:    
I will be paying by*:
Check - Payable to: California Bankruptcy Forum
954 La Mirada St.
Laguna Beach, CA 92651
Visa  
MasterCard  
AmEx  
    
Credit Card Number:
Expiration Date (MM/YY):
Security Code (AmEx only):
Name on Card:
Billing  Address - If billing address is same as attendee, check this box:    If not, please enter below.
Billing Street Address:
Billing City:
Billing State:
Billing Zip Code:
Contact CBF Administrator at CBFadmin@JBSmgmt.com for questions including Program Book, Sponsorship & Exhibit information

CBF Conference Refund Policy: The conference registration fee, less a $50 handling fee will be refunded if a written notice of cancellation is received by April 4, 2016. No refunds will be granted after April 4, 2016; however substitutions will be allowed.
Please enter the 6-digit code above then click submit: