Wufoo
Conference Registration
The TVA/FB National Training and Skills Based Conference will be held at the Choctaw Casino Resort in Durant, Oklahoma on May 11, 12 and 13, 2010. The nearest airport is in Dallas, Texas (Dallas Fort Worth International Airport). A shuttle is not available from Dallas Fort Worth International Airport to the hotel; however, Unified Solutions and the Choctaw Nation will provide transportation. On Friday morning, May 14, early transportation will be provided back to the airport and flights should not be scheduled before 10:00 AM. Grantees are responsible for any other transportation fees to/from the Dallas Fort Worth International Airport, should you choose not to utilize group transportation arranged by Unified Solutions. The conference will conclude at 5:00 PM on Thursday, May 13, 2010.
To make sure we have enough buses to accommodate everyone, please send us your arrival and departure times so we can organize transportation accordingly. If you do not have your travel information available, please email Jesucita Hernández, TVA Program Manager at jesucita@unified-solutions.org once your itinerary is finalized to secure transportation from the airport to the hotel. Travel time from the Dallas Fort Worth International airport to Durant is approximately 90 minutes.
Grantee Program Type
*
Please Select
Tribal Victim Assistance
Faith Based
Program Name
*
Name
*
Job Title
*
Job Type
*
Faith Based Advisory Board Member
Faith Based Counselor
Law Enforcement
Management
Advocate
Judicial Services
Tribal Leader
Other
Please Select
Email
*
Mailing Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
United States
United Kingdom
Australia
Canada
France
New Zealand
India
Brazil
----
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Democratic Republic of the Congo
Republic of the Congo
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Phone Number
*
###
-
###
-
####
Would you like to receive CEU Credits for this conference?
*
Yes
No
Will you require transportation from Dallas, TX to the conference at Durrant, OK?
*
Yes
No
Will you require any special dietary accommodations for meals?
*
Yes
No
Will you be bringing any resource materials?
*
Yes
No
Will you be participating in the gift exchange?
*
Yes
No
Have you completed your flight reservation?
*
Yes
No
When is your flight arrival?
MM
/
DD
/
YYYY
HH
:
MM
:
SS
AM
PM
AM/PM
When is your flight departure?
MM
/
DD
/
YYYY
HH
:
MM
:
SS
AM
PM
AM/PM
Do Not Fill This Out
Wufoo
Powered