2021-2022 Willame!e Valley American Inn of Cou" Registration Form
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
2021-2022 Willamette Valley American Inn of Court Registration Form 9/3/21, 1:11 PM
2021-2022 Willame!e Valley American Inn of
Cou" Registration Form
To help us plan the amount of space and catering we will need this year, we encourage you to please
register by September 3, 2021. Submit competed registration forms to
WillametteValleyAIC@gmail.com.
Meetings are typically held the third Thursday each month from September through May (except in
December). Due to holiday and venue conflicts this year, the first meeting will be held virtually on the
fourth Thursday, September 23. The board is in the process of securing meeting space and confirming
for the rest of this year's schedule. For the most current information, see https://inns.innsofcourt.org/
for-members/inns/the-willamette-valley-american-inn-of-court.aspx.
Provided social distancing restrictions allow, WVAIC plans to start the year by hosting hybrid (in-
person/virtual) dinner meetings with the following schedule:
5:30 pm - Cocktail hour
6:15 pm - Inn announcements
6:30 pm - Presentation (1 CLE credit will be sought)
WVAIC will send an annual dues invoice to the email address(es) you provide on the registration form.
The invoice, due upon receipt, will provide the options of paying dues online by credit card or by
submitting a check. Dues for this year are set at:
- Master of the Bench (15 or more years in practice) $330
- Lead Barrister (10-15 years in practice) $310
- Junior Barrister (5-10 years in practice) $250
- Associate (Less than 5 years in practice) $195
- Willamette University Law Student $75
* Required
1. Email *
https://docs.google.com/forms/d/1C8DWEGm4NYqW8Bs7VcgULuXV6t7TXWoWkpY6m6XKcs8/printform Page 1 of 82021-2022 Willamette Valley American Inn of Court Registration Form 9/3/21, 1:11 PM
2. I am applying for membership in the Willamette Valley American Inns of Court. I understand and
agree to the following conditions of membership: *
Check all that apply.
Agree
Payment of 2021-2022 dues, which are non-
refundable. ✔
Attendance at each monthly meeting is
critical to fostering professionalism and
collegiality; and I therefore agree to attend
✔
most (if not all) meetings.
I will participate and contribute to my team’s
program. ✔
I will timely confirm or update my
attendance and request for CLE credit by
completing electronic RSVP or sign-in sheets ✔
as requested.
If I cannot attend an in-person dinner
meeting, I will timely notify the Inn President,
Melissa Parker by emailing ✔
WillametteValleyAIC@gmail.com.
WVAIC seeks to build and retain a diverse membership of legal practitioners. WVAIC recognizes that the up-
2021- front cost of dues may impact some practitioners’ ability to become or remain a member. The board is taking
2022 the following steps to balance accessibility to membership with costs to the Inn: (1) providing the option to
pay by credit card (yes, checks will still be accepted); and (2) offering the option for individuals to seek a
Annual cost reduction or deferral, or to contribute a sponsorship amount.
Dues:
https://docs.google.com/forms/d/1C8DWEGm4NYqW8Bs7VcgULuXV6t7TXWoWkpY6m6XKcs8/printform Page 2 of 82021-2022 Willamette Valley American Inn of Court Registration Form 9/3/21, 1:11 PM
3. Dues are set as shown below. Please select the applicable membership level: *
Mark only one oval.
Master of the Bench (15 or more years in practice) $330
Lead Barrister (10-15 years in practice) $310
Junior Barrister (5-10 years in practice) $250
Associate (Less than 5 years in practice) $195
Willamette University Law Student $75
I have been granted Emeritus (lifetime member) status.
4. Payment information: Please select one (non-binding) option to help us understand member
preference and to better track incoming payments.
Mark only one oval.
I (or my firm) plan to pay by credit card.
I (or my firm) plan to pay by check.
Other:
5. Other payment options: Please select any that apply.
Check all that apply.
I would like to request a dues reduction or deferral of payment as noted in the comments box below.
(Requests will be evaluated by the executive board in confidence.)
I (or my firm) would like to pay an additional amount on this year's invoice to help sponsor members
needing a cost reduction or a law student. (Please note the additional amount in the comments box below. )
I (or my firm) are interested in sponsoring the cocktail hour for one or more Inn meetings this year. (Let
us know which month(s) in the Comments below.)
https://docs.google.com/forms/d/1C8DWEGm4NYqW8Bs7VcgULuXV6t7TXWoWkpY6m6XKcs8/printform Page 3 of 82021-2022 Willamette Valley American Inn of Court Registration Form 9/3/21, 1:11 PM
6. Comments on other payment options:
Skip to question 7
Member Information
7. First Name *
8. Last Name *
9. Firm Name
10. Mailing address (Complete if you are a new member or your address has changed since last
year.)
https://docs.google.com/forms/d/1C8DWEGm4NYqW8Bs7VcgULuXV6t7TXWoWkpY6m6XKcs8/printform Page 4 of 82021-2022 Willamette Valley American Inn of Court Registration Form 9/3/21, 1:11 PM
11. Alternate or additional (billing or admin.) email address
12. Bar Number & Date of Admission (Please complete if you are a new member.)
13. Phone number (Please complete if you are a new member or your information has changed
since last year.)
14. Prior membership status: I am a . . . *
Check all that apply.
returning member from 2020-21.
returning member from a year prior to 2020-21.
new member.
https://docs.google.com/forms/d/1C8DWEGm4NYqW8Bs7VcgULuXV6t7TXWoWkpY6m6XKcs8/printform Page 5 of 82021-2022 Willamette Valley American Inn of Court Registration Form 9/3/21, 1:11 PM
15. If you were a member in 2020-21, which team were you on? *
Mark only one oval.
N/A
Team Tingleaf
Team Hirsch
Team Perez
Team Gardiner
Team Brown & Wilson
Team Denning
Team Parker
Team Sinks (Revels)
16. How many years have you been a member of the Inn?
17. Attendance: I plan to attend meetings . . .
Mark only one oval.
all in-person (subject to any social distancing restrictions)
mostly in-person (subject to any social distancing restrictions)
all virtual
mostly virtual
a mix of in-person and virtual
https://docs.google.com/forms/d/1C8DWEGm4NYqW8Bs7VcgULuXV6t7TXWoWkpY6m6XKcs8/printform Page 6 of 82021-2022 Willamette Valley American Inn of Court Registration Form 9/3/21, 1:11 PM
18. Do you have any dietary restrictions or eating preferences?
Check all that apply.
Vegetarian
Dairy-free
Gluten-free
19. Other dietary restrictions or meal preference notes:
Leadership: WVAIC would like to ensure interested members have the opportunity to become
20.
leaders in the Inn and that serving leaders have a seamless way to transition back into general
l
membership. Please select any that apply.
Check all that apply.
I am interested in being partnered this year with a current WVAIC team leader to serve in a vice- or co-
lead role.
I am not ready commit this year, but I would like to be kept in mind for future leadership opportunities
with WVAIC.
https://docs.google.com/forms/d/1C8DWEGm4NYqW8Bs7VcgULuXV6t7TXWoWkpY6m6XKcs8/printform Page 7 of 82021-2022 Willamette Valley American Inn of Court Registration Form 9/3/21, 1:11 PM
21. Other notes or comments:
This content is neither created nor endorsed by Google.
Forms
Please submit completed registration forms to WillametteValleyAIC@gmail.com.
https://docs.google.com/forms/d/1C8DWEGm4NYqW8Bs7VcgULuXV6t7TXWoWkpY6m6XKcs8/printform Page 8 of 8You can also read
