Event Registration

PACB Convention 2019

Presenter: The Broadmoor, Colorado Springs, CO
Date: September 26, 2019 - September 29, 2019
* = Required Field

Registrant Information

Contact Information


Spouse / Guest Information

Home Address

Meal Sign-up

"Welcome to the Fair" Theme Party, Fri. 9/27
Director Breakfast, Sat. 9/28
CEO Breakfast, Sat. 9/28
Spouses Breakfast, Sat. 9/28
Gala Dinner, Sat. 9/28

Tours & Activities

Due to space limitations, these events will be limited to only those individuals who have registered for the event in advance.

Please indicate the number of people paricipating in each event on the corresponding line. Thank you.

The deadline to register for tours is July 31, 2019. Tours may sell out prior to this date.

Spouse Activity Sign-up

Olympic Training Center Tour, Fri. 9/27, 3 hours $175/person

PACB-Sponsored Tours Sign-up

Jeep Tour on Pikes Peak Highway, Sat. 9/28, 4.5 hours $175/person

Horseback Riding, Sat. 9/28, 2.5 hours $250/person

Activity Total:  $

PACB & Associate Member Registration Fees

Please note that individuals registered by August 25, 2019 will be printed in the official registration list.

Qty. x Amt. = Total
Registrant from Institution/Firm x $0 = $
Spouse, Guest, Children 18+ x $0 = $
Children (under 18) x $0 = $
Member Registration Total $

Non-member Registration Fees

Qty. x Amt. = Total
Registrant from Institution/Firm x $0 = $
Spouse, Guest, Children 18+ x $0 = $
Children (under 18) x $0 = $
Non-Member Reistration Total $

General Release & Waiver Form

This release MUST be completed prior to participating in any of the planned activities offered by PACB.
In consideration of PACB planning and coordinating activities during the Annual Convention, I (we) do hereby release and discharge forever, as do our heirs, executors, administrators and assigns, the PACB, its subsidiaries, affiliates, officers, directors, agents and employees from any liability, direct and indirect, and all claims, demands, damages, actions or suits at law or in equity because of matters, incidents or things done, omitted or suffered to be done by anyone, which may hereafter arise, directly or indirectly, from or out of my (our) participation in convention activities.
In addition, I hereby grant PACB permission to use my likeness in photographs, video, or other digital media in any and all of its publications, including web-based publications, without payment or other consideration.

 I agree

Cancellation Policy

Cancellations received on or before June 5, 2019 will entitle you to a full refund. Cancellations received after June 5, 2019 will be subject to a $500 administrative fee. NO REFUNDS will be given for cancellations received after June 30, 2019. All refund requests must be in writing and submitted to: PACB Annual Convention 2019, 2405 N Front Street, Harrisburg, PA 17110.


Program: Please contact Barbara Holbert, VP of Strategy and Operations at 717-231-7447 or barbara@pacb.org.

Registration: Please contact Evelyn Sponsler, Executive Administrative Assistant at 717-231-7447 or evelyn@pacb.org for registration questions.

Payment Information