Print Name:_____________________________________________________________ Date: ___________________________
City:______________________________________________________ State: _________ Zip: ___________________________
Telephone (required):________-________-__________ E-mail: _____________________________________________________
Dietitian Day Objectives:
At the conclusion of the program participants will be able to:
- Describe the pathophysiology of celiac disease
- Define medical nutrition therapy for celiac disease
- Identify at least two management strategies for celiac disease
- Describe the relationship between type 1 diabetes mellitus and celiac disease
Program & Speakers:
|7:30 am – 7:55 am
||Registration & Information Desk
|7:55 am – 8:00 am
|8:00 am – 9:15 am
||Jean Guest, PhD, RD, LMNT
|9:15 am – 10:30 am
||Dee Sandquist, MS, RD, CDE
|10:30 am – 11:00 am
|11:00 am – 12:00 pm
||Veronica Alicea, RD, MBA
|12:00 pm – 1:30 pm
|1:30 pm – 2:45 pm
||Mark Dinga, MEd, RD, LDN
|2:45 pm – 3:15 pm
|3:15 pm – 4:30 pm
||Diana Stuber, MA, RD, CDE
|4:30 pm – 5:30 pm
Early Registration Fee $165 Until 10/12/09
Late Registration Fee $215 After 10/12/09
Registration includes lunch, Dietitian Day Handbook,
speaker presentation recordings set, a compact disk
version of The CSA Gluten-Free Product Listing and
admission to the Conference Exhibit Hall.
Register by phone 1-877-CSA-4-CSA.
Bayfront Convention Center - Erie, Pennsylvania
Sheraton Erie Bayfront Hotel - Erie, Pennsylvania
Identify yourself as part of the Celiac Sprue Association
September 29, 2009 will be the last day for CSA Conference
discounted room rates. Phone: 814-454-2005
CPEU’s are being applied for through the American Dietetic
Association’s Commission on Dietetic Registration.
I have specific dietary needs
(gluten-free lunch and breaks)
□ Lactose-free □ Vegetarian
Continue the experience by enjoying delicious gluten-free selections. $40.00
Conference Exhibit Hall
Conference Exhibit Hall will feature a variety of gluten-free items from food manufacturers, suppliers and health food stores many offering products for sampling or purchase.
By attending this event it is agreed that photos/videos may be taken and used by CSA for promotional and educational purposes.
CSA adheres to the articles of Title III of the 1990 Americans with Disabilities Act. If special assistance is required, notify CSA by 9/1/09.
Payment method: □ Check: Amount (Payable to the Celiac Sprue Association) ________________
□ Credit card:
Credit card number:_____________________________________________________________Exp. Date: ___________________
Full name of cardholder (Please Print):_________________________________(Signature):_________________________________
No refunds will be issued once payment has been received. Forfeited fees will be retained as a donation to CSA.
Mail to CSA, PO Box 31700, Omaha, NE 68131