Administrators Conference Registration Form Event* Facility* Please SelectAneta Parkview Health CenterAshley Medical Center & Nursing HomeAve Maria VillageBaptist Health Care CenterBenedict CourtBenedictine Health SystemBenedictine Living Center of GarrisonBenedictine Living Community of WahpetonBethany GablesBethany on 42nd Skilled CareBethany on University Skilled CareBethany Retirement LivingBethany TowersBethel 4 Acres LtdBethel Lutheran Nursing & Rehab CenterBeverly Anne Assisted Living CenterBorg Pioneer Memorial HomeBrentmoor-A Brookdale CommunityCHI Riverview PlaceCHI St. Alexius-GarrisonDakota AlphaDakota Center for Independent LivingDakota Hill HousingDakota PointeDickinson Country House LLCDunseith Community Nursing HomeEcumen Evergreens of FargoEdgewood VistaEdgewood Vista and VillageEdgewood Vista At Edgewood VillageEdgewood Vista Memory CareEdgewood Vista Minot Senior LivingEdgewood Vista-DominionEdmore Memorial Rest HomeElim-A Caring CommunityElm Crest Assisted LivingElm Crest ManorEmerald CourtEventide at JamestownEventide at Sheyenne CrossingsEventide Heartland Care CenterEventide Heartland CourtsEventide Senior Living CommunitiesEvergreenEvergreen Place & Assisted LivingFour Seasons Health Care Center Inc.Gackle Care CenterGolden Acres EstatesGolden Acres ManorGolden Manor Inc.Good Samaritan Society-BismarckGood Samaritan Society-BottineauGood Samaritan Society-Devils LakeGood Samaritan Society-FargoGood Samaritan Society-Lake County ManorGood Samaritan Society-LakotaGood Samaritan Society-LarimoreGood Samaritan Society-MohallGood Samaritan Society-MottGood Samaritan Society-OakesGood Samaritan Society-Park RiverGood Samaritan Society-Prairie RoseGood Samaritan Society-Royal OakesGood Samaritian Society-ArthurGriggs County Care CenterHaaland Estates-Assisted LivingHaaland Estates-Basic CareHatton Prairie VillageHawks PointHealth Management ServicesHeart of America Medical CenterHeritage Centre of Jamestown, Inc.Heritage HouseHI Soaring Eagle RanchHill Top Home of ComfortHorizonKind-er Care HomeKnife River Care CenterLakeside Community Living CenterLakewood LandingLeisure EstatesLuther Memorial HomeLutheran Home of the Good ShepherdLutheran Sunset HomeMaddock Memorial HomeManor Care of Fargo ND LLCManor Care of Minot, LLCManor St. JosephMaple Manor Care CenterMaple View Memory CareMarian Manor HealthCare CenterMaryhill ManorMcKenzie County Health Care SystemsMissouri Slope Lutheran Care CenterMountrail Bethel HomeNapoleon Care CenterNapoleon Congregrate/AL ApartmentsNCHS Assisted LivingNelson City Health System Care CenterNorth Border EstatesNorth Dakota Dept. of HealthNorth Dakota Veterans HomeNorthern Lights VillaNorthwood Deaconess Health CenterOld Fellows HomeOsnabrock Community Living CenterPark Avenue VillaPark PlacePark View Assisted LivingParkside Lutheran HomeParkwood Senior LivingPembilier Nursing CenterPioneer House AL for SeniorsPrairie Hills Assisted LivingPrairie VillaPrimrose Retirement CommunityPrince of Peace Care CenterRedwood VillageRichardton Health CenterRock of Ages, Inc.Rolette Community Care CenterRoseadeleRosewood Court Assisted LivingRosewood On BroadwaySanford Health Living CentersSanford Health Cont. Care Center off CollinsSanford Health Hillsboro Care CenterSanford Health St. Vincent's Cont. Care CenterSanford Health Sunset Drive Cont. Care CenterSenior Suites at SakakaweaSheridan Memorial HomeSheyenne Care CenterSheyenne Crossings Care Center/TCUSiena CourtSisters of Mary of the Presentation Health SystemSomerset CourtSouris Valley Care CenterSouthwest Healthcare ServicesSt. Alexius Medical Center-TCUSt. Aloisius Medical CenterSt. Anne's Guest HomeSt. Benedict's Health CenterSt. Francis ResidenceSt. Gabriel's CommunitySt. Gerard's Community of CareSt. Luke's HomeSt. Luke's Sunrise Care CenterSt. Rose Care CenterState of NDStrasburg Care CenterSun CentersSunrise Village Assisted LivingThe Leach HomeThe Legacy Place, LLCThe MeadowsThe TerraceThe View on Elk DriveThe WellingtonTioga Medical Center LTCTouchmark at Harwood GrovesTouchmark on West CenturyTowner County Living CenterTrinity HomesTufte ManorValley Eldercare CenterValley Memorial HomesValley View Heights Assisted LivingValley View ManorVilla MariaWedgewood ManorWestern Horizons Assisted LivingWestern Horizons Care CenterWheatland TerraceWibaux County Nursing HomeWishek Living CenterWoodside VillageSponsorOther First Name* Last Name* Title Address* City* State* Please SelectAlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutWashington DCDelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyoming Zip Code* Email Phone* Sessions: 1A 1B 1C 1D 1E 1F 1G 2A 2B 2C 3A 3B 3C Member Rates: If registered by July 6th: Please Select$250 Full Registration$150 Wednesday Daily$150 Thursday Daily If registered after July 6th: Please Select$300 Full Registration$200 Wednesday Daily$200 Thursday Daily Non-Member Rates: If registered by July 6th: Please Select$500 Full Registration$300 Wednesday Daily$300 Thursday Daily If registered after July 6th: Please Select$600 Full Registration$400 Wednesday Daily$400 Thursday Daily Administrator-In-Training (AIT)/Student Rates: Registration: Please Select$115 Full Registration$60 Wednesday Daily$60 Thursday Daily Other: Spouse/Guest Registration #1: $150-All meal functions: $25-Tuesday social ONLY: $40-Thursday social ONLY: Spouse/guest name #1 Spouse/Guest Registration #2: $150-All meal functions $25-Tuesday social ONLY $40-Thursday social ONLY Spouse/guest name #2