CC - Item 4B - Authorization Attend CA Contract Cities Association 46th Annual Seminar•
TO: HONORABLE MAYOR
AND MEMBERS
ROSE CITY COUNCIL
FROM: BILL CR , CITY MANAGER
DATE: APRIL 4, 2005
11
RE: AUTHORIZATION TO ATTEND CALIFORNIA CONTRACT CITIES
ASSOCIATION 46TH ANNUAL MUNICIPAL SEMINAR MAY 19-22,2005
INDIAN WELLS
Attached for your consideration is information regarding the aforementioned conference.
Topics will include Emergency Medical Services, Emergency Health Services, Housing issues,
and a legislative view from Washington and Sacramento.
RECOMMENDATION
It is recommended that the Rosemead City Council authorize the attendance of any Council
Member, City Attorney, City Manager and staff as assigned by the City Manager.
CJUt.!^ L, r,~ft"-. : wU,k
APR 12 2005
0 •
Association
46TH ANNUAL
MUNICIPAL SEMINAR
he a~~
REGISTRATION PACKET
MAY 19-22, 2005
RENAISSANCE ESMERALDA RESORT
INDIAN WELLS, CALIFORNIA
California
Contract Cities
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Friday & Saturday
May 20th & May 21St
Pre-registration: $35.00 per day
On-site/Walk-in registration: $45.00 per day
Includes All Activities, Excursions,
Transportation
Snacks, Lunch and Dinner
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(activities following excursions only)
will be located in the Malta A & B Rooms
Children's Program
(Excursions and activities following the excursions):
Friday, May 20th
9:00 a. m. to 10:30 pm.
Saturday,, May 21St
9:00 a.m. to 10:30 p.m.
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California Contract Cities Assoc ation
your c AC ),-ftVc~~s ItEws-MA-ftox yol~mr
MAIL-IN REGISTRATION
(Please complete one form per child)
Deadline is Monday, May 2, 2005
(PLEASE REGISTER EARLY - SPACE IS LIMITED)
PRE-REGISTRATION
$35.00 per child, per day
WALK-IN REGISTRATION
$45.00 per child, per day
CHECK THE DATES THAT YOUR CHILD WILL ATTEND "I'M A SUPER STAR!" CAMP
Friday, May 20th
Child's Name:
Parent/Guardian's Name:
Address:
Zip Code:
Cell Phone:
Saturday, May 21St
Pager:
Age:
All children that are signed up for "I'm A Super Star!" Camp will receive a camp t-shirt.
Please indicate t-shirt size: S: M: L: XL: Adult/Child (Circle One)
(
Home Phone:
FRIDAY, MAY 20, 2005
Activity/Ages/Times
Knott's Soak City U.S.A. / 5-14 years / 9:30 a.m. - 5:00 p.m.
SATURDAY, MAY 21, 2005
Activity/Ages/Times
Children's Discovery Museum / 5-8 years old / 9:30 am - 2:00 p.m
Palm Springs Lanes (Bowling) / 9-14 years / 10:30 a.m. - 3:00 p.m.
MAKE CHECKS PAYABLE AND SEND THEM WITH THIS REGISTRATION FORM TO:
City of La Canada Flintridge
Attn.: Ann Wilson
1327 Foothill Blvd.
La Canada Flintridge, CA 91011
Pre-Registration for:
Friday ($35.00)
Saturday ($35.00) _
Total Amount $
California Contract Cities Association
"I'm a Super Star!" Camp
City of La Canada Flintridge
Release Form
I ~ of
(Name) (Relationship) (Child) t
grant permission for my child to attend and participate in the City of La Canada Flintridge and Renaissance Esmeralda Resort
Youth Activities Program described as part of the California Contract Cities Annual Municipal Seminar. In consideration of
the participation of my child in these activities, I, for myself, my child, and my spouse as the parent and/or legal guardian of
the child named above hereby voluntarily release, waive, and relinquish all claims that each may have had against the City of
La Cafiada Flintridge, Renaissance Esmeralda Resort and the California Contract Cities Association, their respective officers,
agents, representatives and/or employees, arising out of, or in any way related to the described activities. This includes, but is
not limited to, bodily injury, personal injury, emotional distress, property damage or wrongful death occurring to the child
arising from the stated activities.
My child is physically able to participate in these activities. (initial)
I hereby agree to indemnify and hold harmless the City of La Cafiada Flintridge, the Renaissance Esmeralda Resort and the
California Contract Cities Association, their officers, agents, representatives and/or employees from any loss or liability
including expenses and costs, that may result in injuries, death, or damage to loss of property that my child may sustain while
participating in such activities whether such was caused by passive or active negligence, omission or other cause.
It is my understanding that my child will be in the designated child care room at the Renaissance Esmeralda Resort unless
attending a scheduled activity or excursion, and will remain there until released to my custody at the conclusion of the
p: or3, t. li7:aca ST3i 1, ta71T .i, _S 3' O. a d Caiuua i iIitu iurt2 itl provide Cian-spOrldtiGii. I iiii :lu'aiI of iuC conclusion ili71CJ
for the program and will pick up my child by the specified ending time. I hereby give my permission to release my child to a
designated representative of the City of La Canada Flintridge.
I hereby appoint the City of La Cafiada Flintridge's designated personnel as the person(s) during my child's participation in
these activities who shall be authorized to consent for personnel for all emergency medical and/or surgical treatment and/or
special procedures, which may be required.
My child has the following
My child takes the following
This consent and authorization shall include and extend to all matters for which consent and authorization is required. It is
understood that this authorization is given in advance of any specific diagnosis, treatment, or hospital care being required, but
is given to provide authority to the above described agents for specific consent, to any and all such diagnoses, treatment, or
hospital care which a physician may, in the exercise of his/her best judgment deems advisable. In consideration of the services
that are rendered to my child named above, pursuant hereto, I agree to pay for all services.
I have carefully read this permission, waiver of liability, indemnity agreement and medical consent form and fully understand
its contents. I am aware it is a full release of liability and sign of my own free will.
2005
Print Name:
Code: Home
Cell Phone:
Other Emergency Number:
Additional
ATTENTION GOLFERS!!
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To make "Dave's Desert Classic" the most fun tournament you play this year, we have imple-
mented a policy based on the following past experience.
Many golfers names appear on more than one foursome as sponsors of foursomes
and apparently do not always obtain approval of the individuals they name in the
foursome.
I
2. Many golfers wish to be placed in specific foursomes after the foursomes are estab-
lished.
3. Many golfers appear at the tournament not being registered and, therefore, not in-
cluded in a foursome wishing to play with a specific individual who, in most cases, i
is already in a foursome of his/her choice.
4. Some registered individuals arrive at the tournament late after their spot in a four-
some has been given to another golfer and want to either displace the person filling
their spot or play as a fivesome.
It is our intention to accommodate each golfer and facilitate a smooth check in. Please under-
stand that conflicting wishes cannot always be accommodated. CCCA cannot split registered
foursomes without the approval of the individuals in that foursome. CCCA prepares the pair-
ings from golfers who are not registered as a foursome and must modify foursomes when a
named player does not show up before tee time.
CCCA requires that when registering for golf, all foursomes must be made up of valid players
with real names and telephone numbers. The individuals in the foursome must be confirmed
e.g., each individual in the foursome must know that they have been included in the foursome
for which the fees are being paid. Also, golfers must arrive at the appointed time. We will
only accept players "To Be Named" (TBN) with payment in full. Names for TBN must be re-
ceived by deadline of )1.iv 1). 200;.
California Contract Cities Association