Summer Conference Spouse/Guest Registration

June 26-30, 2021
Seminole Hard Rock Hotel
Seminole Way
Hollywood, FL
PLEASE NOTE: Due to the continuing uncertainty of the pandemic, spouse events may have to be cancelled. FPCA will notify you ASAP if this occurs. Thank you.
Date*
Date Format: MM slash DD slash YYYY
Spouse/Guest Name*
First Last
Agency Name*
Spouse/Guest Cell Phone*
Spouse/Guest Email*
Address*
Street Address City State / Province / Region ZIP / Postal Code
If you plan to attend the Wednesday night Installation & Awards Banquet, you must select the registration option that includes a ticket.
Basic registration includes everything except the Installation Banquet.
Registration Type*
- Spouse/Guest Registration - No Banquet Ticket - $100
- Spouse/Guest Registration - Banquet Ticket - $150
Will you be attending Host Chiefs Night on Monday?*
- Yes
- No
When you hit submit you will be taken to page where you may submit payment via credit card. When entering the credit card information, please add your email address to receive your payment receipt. If you require an invoice please indicate below.
Please send me an invoice.*
- Yes
- No