Please RSVP by October 9th    

4:30 p.m. Registration 
5:00 p.m. Program: Building a Winning Culture: Teamwork, Accountability & Adapting to Change
         Guest Speaker:  Michael P. Ericksen, MS, C.S.C.S.,  Director of Sports Performance 1995-2022 and 
         Associate Athletic Director / External Affairs. 2022-Current, CCSU

Download Event Flyer

Contact:  Jean Barlage

Registration Contact:

Company: *
Primary Contact: *
Email: *
Phone:

Guests

Total # Attending
# Guests Mbr. Price $65 pp
Total No. Non-YCC Mbr.@ $75 pp
Student

Sponsorship Options:

  • Gold - company logo on sign and in promotional emails
  • Silver -company logo on on sign
Sponsorships Selection

Clear Selection
Company Logo: Upload Logo (or CCIA will use Logo we have on file)

Payment Info:

Payment Options:  Pay by Credit Card Upon Submission of this form; or Mail Check to: 
CCIA
912 Silas Deane Hwy., Suite 112
Wethersfield, CT  06109
Reference YCC

TOTAL AMOUNT DUE: MBR + Non-MBR + Sponsorship (if selected):
Payment Options: *

Clear Selection

Guest List

Please type attendees names so they will have a name badge printed upon arrival.

Guest 1:
Guest 2:
Guest 3:
Guest 4:
Guest 5:
Guest 6:
Additional Attendees? Please type names.
Cancelation Policy:  48 hour notice required for refund. Contributions or gifts to YCC are not deductible as charitable contributions for Federal Income Tax Purposes. Registration and attendance at YCC events constitutes an agreement by the attendee to the use and distribution of photos.



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© 2020 Connecticut Construction Industries Association. All Rights Reserved.
912 Silas Deane Highway, Suite 112, Wethersfield, CT 06109 | P 860.529.6855 | F 860.563.0616 | ccia-info@ctconstruction.org

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