Oak Ridge Emergency Management Forum
Online Registration Form

Sponsored By: U.S. Department of Energy (DOE), Oak Ridge Office (ORO)
Tennessee Emergency Management Agency (TEMA)
Hosted By: DOE Oak Ridge Office
Location: Y-12 New Hope Center, Scarboro Road, Oak Ridge, Tennessee
Date/Time: Thursday, September 26, 2013; 8:00 a.m. - 4:40 p.m.

Please submit your online Registration Form by close of business on Thursday, September 19, 2013
First Name:
Last Name:
Title:
First and/or last Name You Prefer on your Badge:
Organization:
Address:
Phone Number:
Email Address:   
NOTE: Lunch will be available for purchase from Oliver's Catering Services. Are you interested?

Please Choose the Afternoon Breakout Sessions You are Most Likely to Attend
(Your choices will assist in Forum planning efforts – Time slots and locations may be subject to change)

Please Choose the Afternoon Breakout Sessions You are Most Likely to Attend
(Your choices will assist in Forum planning efforts – Time slots and locations may be subject to change)
1:00 - 1:40 p.m.   1st Breakout Session
(Wamp Auditorium) Title: Public & Private Sector Partnerships in Emergency Response & Management
Speaker(s): TBD
(Media Center) Title: Medical Emergencies and How the State Responds to them
Speaker(s): TBD
Will not (or unable to) attend
2:10 - 2:50 p.m. 2nd Breakout Session
(Wamp Auditorium) Title: Emergency Movements and Relocations of East TN Populations - A Panel on the Necessity of Partnerships
Speaker(s): TBD
(Media Center) Title: Family – Community Emergency Preparedness – Becoming Self-Sufficient in Disasters
Speaker(s): TBD
Will not (or unable to) attend
3:20 - 4:00 p.m. 3rd Breakout Session
(Wamp Auditorium) Title: A Status Report on Terrorism, Counterterrorism, and the Specter of a Major Continuity of Government Event
Speaker(s): TBD
(Media Center) Title: How Does Emergency Decision Making Flow In, On, Around, and From the DOE Oak Ridge Reservation; Who’s Really In Charge?
Speaker(s): TBD
Will not (or unable to) attend
4:05 - 4:35 p.m. Closing General Session
  Title: Challenges in Emergency Management Partnerships – The Next Ten Years
Speaker(s): TBD

NOTE: Immediately following the close of the 3:00 hour breakout session (4:00 pm), please proceed to the Wamp Auditorium for a brief, closing general session.
NOTE: Several organizations will be providing indoor displays and/or outdoor exhibits. Forum attendees will be able to visit these exhibits throughout the day. Please visit the exhibits. Thank you.

Please return your completed Registration Form no later than the close of business Thursday, September 19, 2013,
to DOE Emergency Management Team, by e-mail: oremforum@oro.doe.gov or by fax: (865) 576-9772
or by clicking the submit button below.
NOTE: 0.5 Continuing Education Units (CEUs) are available for all persons who request them via signup sheets at the Forum registration desk and who attend all sessions of the Forum.