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CONFERENCE DESCRIPTION
This exciting cruise conference on Hot Topics in Pediatrics is designed to provide physicians, nurses, nurse practitioners, and physician assistants with current information in pediatrics. A variety of topics, timely and pertinent to the practice of the pediatric care provider, will be presented in didactic lectures, case presentations, and interactive sessions. The goal of this conference is to enhance the knowledge and improve competence of attendees.

Topics have been selected based on extensive target audience needs assessment data, including clinical expert input, our online needs assessment survey, and past participant stated needs.

An outstanding faculty has been selected based on their individual areas of expertise, their ability to communicate first-hand knowledge to others, their commitment to address issues of current concern, and their willingness to interact with participants.

CONFERENCE OBJECTIVES
After participating in this conference, you should have increased knowledge of, and be more competent to...

Identify the frequency, and better manage, pertussis in infants, children and adolescents

Identify and manage pediatric infectious disease emergencies

Identify and manage common pediatric cardiac problems

Evaluate suspected complications of sickle cell anemia in children

Identify pediatric cancers with greater accuracy

Define fever and state the controversies in its management

ACCREDITATION
This educational activity was planned and produced in accordance with the ACCME and ANCC essentials and standards relating to continuing medical and nursing education.

Symposia Medicus is accredited by the Accreditation Council on Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Symposia Medicus is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation (ANCC).

Participants should only claim credit commensurate with the extent of their participation in the activity.

Certificates of completion/credit will be given to participants on-site at the conclusion of the conference.

CONTINUING EDUCATION CREDIT

Physicians
Symposia Medicus designates this educational activity for a maximum of 13 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Application for CME credit has been filed with the American Academy of Pediatrics (AAP).

Application for CME credit has been filed with the American Academy of Family Physicians (AAFP).

Nurse Practitioners, Nurses and Physician Assistants
The ANCC contact hours awarded for the completion of this educational activity are 13.

The American Academy of Physician Assistants accepts Category 1 CME approval from organizations accredited by the ACCME.

Provider is also approved by the California Board of Registered Nursing, Provider # CEP2335, for 15.6 contact hours.

Pharmacology Credit for Prescriptive Authority
A maximum of 3.0 hours in pharmacology credit for prescriptive authority may be earned by attending this educational conference. Sessions awarding pharmacology credit for prescriptive authority are denoted with an Rx.

EDUCATIONAL RESOURCES
Each registrant will receive an extensive conference syllabus containing pertinent information on each topic presented. In an effort to reduce the environmental impact of printing on paper, this syllabus is available on CD. You can request your syllabus on CD on our conference registration form. If you do request a syllabus on CD and bring your laptop to the conference, please be aware that there are no electrical outlets in the conference room. Make sure your laptop is fully charged each day.

Extra copies of the syllabus, whether on CD or paper, are available for purchase by writing, with $45 payment to: Symposia Medicus, 399 Taylor Blvd., Ste. 201, Pleasant Hill, CA 94523-2287 (please request syllabus #1146 and indicate type of media preferred).

CRUISE RATES, DEPOSITS AND FINAL PAYMENT REQUIREMENTS
All cruise rates quoted are per person, based on double occupancy. The price of your cruise includes ship accommodations, meals, 24-hour room service, some beverages, and theme shows onboard the ship.

CRUISE RATES DO NOT INCLUDE:

Conference Tuition - See "Conference Registration Information"

Cruise Fees - $145/per person

Government Taxes - $107.15/per person (subject to change)

Gratuities - See "Gratuities Aboard Ship Information"

Possible Fuel Supplement Charge - See "Fuel Supplement Charge Information"

Air Transportation - See "Air Travel Information"

Ground Transportation - See "Ground Transportation Information"

Optional CruiseCare® Cancellation Penalty Waiver Program - See "CruiseCare® Cancellation Penalty Waiver Program Information"

Your cruise fare also does not include: shore and land excursions, alcoholic and some beverages, photographs, medical services, telephone calls, and meals at ship specialty restaurants.

A deposit of $150 per person for all cabin occupants is due to Symposia Medicus at the time of booking. Final payments are due to Symposia Medicus no later than Friday, May 14, 2010. Payments not received by the due date are subject to cabin cancellation with no refunds.

You will receive cruise documents approximately two weeks or more prior to sailing. Travel documents are issued only after final payment has been received.

FUEL SUPPLEMENT CHARGE
Royal Caribbean International® reserves the right to impose a fuel supplement on all guests if the price of West Texas Intermediate fuel exceeds $65.00 per barrel. The fuel supplement for 1st and 2nd guests would be no more than $10.00 per guest, per day, to a maximum of $100.00 per cruise. For additional guests, it would be no more than $5.00 per person, per day.

CANCELLATION POLICY
Per Royal Caribbean International's® policy, a full refund (except amounts paid for CruiseCare® Cancellation Penalty Waiver Program) will be made for written cancellations received by Symposia Medicus no later than May 14, 2010. Passengers who cancel after this date, for any reason, are subject to the following per person cancellation fees:

By May 14: Full Refund

May 15 - June 23: $150 per person

June 24 - July 15: 50% of total price

After July 15: No Refund

Name changes require the prior approval of Royal Caribbean International® and are subject to additional fees. Cruise tickets are non-transferable. No name changes are allowed by Royal Caribbean International® after Friday, July 16, 2010 due to security reasons.

CRUISECARE® CANCELLATION PENALTY WAIVER PROGRAM (OPTIONAL)
With the optional CruiseCare® Cancellation Penalty Waiver Program, Royal Caribbean International® will waive the non-refundable cancellation provision of your cruise ticket contract, and pay you the value of the unused portion of your prepaid cruise should you or your traveling companion(s) need to cancel your cruise for one of the CruiseCare® stated reasons, such as sickness, injury or death of yourself, a traveling companion, or immediate family member. In addition, should you or your traveling companion(s) need to cancel for "any other reason," you may be eligible for CRUISE CREDITS - up to 75% of the nonrefundable, prepaid cruise cost.

Royal Caribbean International's® CruiseCare® rates vary depending on the cost of your cruise fare, cruise fees, and airfare (if you book your air through Royal Caribbean International®). Below is a chart showing the cost per person for CruiseCare® insurance. Prices are subject to change and may increase.

For more information or if you have any questions concerning CruiseCare®, please call Royal Caribbean International's® CruiseCare® Help Line at (800) 453-4022 or (516) 342-2720.

Rates based on per person cost of Cruise fare, Cruise fees and air if booked through Royal Caribbean International®

$0 - $500: $29/person
$501 - $1,000: $59/person
$1,001 - $1,500: $89/person
$1,501 - $2,000: $119/person
$2,001 - $2,500: $159/person
$2,501 - $3,000: $189/person
$3,001 - $3,500: $229/person
$3,501 - $4,000: $259/person
$4,001 - $4,500: $299/person
$4,501 - $5,000: $329/person
$5,001 - $5,500: $369/person

PASSPORT AND VISA INFORMATION
Passports are REQUIRED. If you do not have a passport, please allow a minimum of 4-6 weeks to receive it after you complete and mail the application. Your passport cannot expire any sooner than January 31, 2011.

It is the sole responsibility of the guest to identify and obtain all required travel documents and have them available when necessary. These appropriate valid travel documents such as a passport, visas, inoculation certificate, and family legal documents are required for ship boarding and country entry and/or re-entry. Based on nationality, many countries still require an entry visa.

Guests who do not possess the proper documentation may be prevented from boarding their flight or the ship; or from entering a country, and may be subject to fines.

Note: No refunds will be given to individuals who fail to bring proper documentation.

For additional passport and visa requirements visit the U.S. Department of State's website at www.travel.state.gov/ or the Embassies (Consular Service Office) of each country on the sailing itinerary.

AIR TRAVEL INFORMATION
If you purchase Air Arrangements through Royal Caribbean International®, you receive the following:

Round-trip air transportation in coach/economy class to the city of cruise departure and from the city of cruise arrival

Airport greeting: After you get your luggage at the airport, you will be met by a Royal Caribbean International® representative who will escort you to your bus

Ground transport to/from airports

Baggage handling from the airport to the ship and from the ship to the airport

Generally, air transportation will be arranged to allow for same-day departure. However, from some cities, you may be required to travel on "red-eye" flights, arrive the day before sailing, make connections with different airlines, or make connections or stops en route to your final destination. Royal Caribbean International® reserves the right to choose the air carrier, routing and city airport from each gateway city and substitute charter or commuter flights for scheduled air service without notice. Typically, your flights will be assigned by Royal Caribbean International® 60 days prior to the date of your departure flight. You must reconfirm flights and times with the airline. Royal Caribbean International® is not responsible for seat assignments, special meal requests, frequent flier information or other similar airline-related policies. You must handle these matters directly with the airline.

For Custom Air arrangements, there is a $50 per person, non-refundable service charge for Domestic/North American destinations and $75 per person service charge for International destinations. Additional airfare costs may apply. Royal Caribbean International's® Custom Air Department can handle travel special requests including extended stays or upgrades. Any changes to a custom air request may be subject to non-refundable service charges and additional airfare costs.

If you purchase Air Arrangements on your own:

The closest airport to the ship pier (Cape Liberty) is the Newark Liberty International Airport; however, lower fares can sometimes be found by flying into New York's La Guardia Airport or JFK International Airport. The Newark Liberty airport is approximately 9 miles from the pier, while La Guardia Airport is 19 miles and JFK Airport is 34 miles.

Symposia Medicus has arranged group discounts with Alaska, American, JetBlue and United Airlines for this cruise conference. Reservations can be made either through each individual airlines' Convention Desk at the numbers listed below or through your travel agent.

IN ORDER TO RECEIVE THE DISCOUNTED RATE, YOU OR YOUR TRAVEL AGENT MUST REFER TO THE SYMPOSIA MEDICUS ID NUMBER LISTED BELOW:

Alaska Airlines
For discounts on Alaska Airlines flights, please book online at www.alaskaair.com and insert ECCMB1226 into the e-certificate code box. For questions, please call the Alaska Airline Convention Desk at (800) 445-4435

American Airlines
(800) 433-1790
Refer to ID# 1220SS

JetBlue Airlines
For discounts on Jet Blue Airlines flights, please book online at www.jetblue.com/promo and insert symposia1146 into the promotion code box. The discount is only available online.

United Airlines
(800) 521-4041
Refer to ID# 563JI

If you make your own air arrangements you must allow a minimum of three hours from the time your flight arrives in New Jersey / New York to the time the ship departs (at 5:00pm). Going home you should allow at least three hours between when the ship disembarks in New Jersey and your plane departs (ship docks at 8:00am and disembarks starting between 9:00am - 10:00am). The three hours allow you time for ship clearance, customs clearance (if applicable) and airline security. You can also request to be the first group off of the ship by going to the Guest Relations desk as soon as possible once you board the ship to let them know that due to a tight airline schedule you need to be included in the first group off the ship.

GROUND TRANSPORTATION
If you choose to make your own air travel arrangements, you can purchase Royal Caribbean International's® transfers to/from the ship. Once you have collected your luggage at the airport, you will be met by a Royal Caribbean International® representative outside the Baggage Claim area who will assist you with transportation to the ship. When you return from your cruise and have claimed your luggage, a Royal Caribbean International® representative on the pier will direct you to your transportation to the airport. Note: The transfers are only available on the scheduled day of ship embarkation (July 31, 2010) and disembarkation (August 5, 2010).

In order to reserve the ground transportation with Royal Caribbean International®, your flight into the Newark Liberty International Airport must arrive no later than Saturday, July 31, 2010 three hours prior to ship departure and your departure flight home on Thursday, August 5, 2010 must leave no earlier than three hours after ship disembarks.

All requests must be made to Symposia Medicus by Friday, May 14, 2010. Your flight itinerary must be provided in order to confirm your transfers.

If you have a tight connection, regardless of how you arranged your air and ground transportation, visit the Guest Relations desk once onboard the ship to let them know you would like to be in one of the first groups to depart the ship on Thursday, August 5, 2010.

DINING ABOARD SHIP
When you make your cruise reservations, you need to request either the 6:00pm main or 8:30pm late dinner seating (Note: The 6:00pm main dining fills early and your time of dinner seating cannot be guaranteed). Please inform us if you or your guests have any special food or dietary requirements and inform us of other cruise passengers (not guests in your cabin) with whom you would like to sit at dinner. If your preferred dining time is not available, you will be waitlisted. Your dining assignment will appear on your final cruise documents that you will receive approximately two weeks or more prior to sailing. Flexible main dining options are also available on this ship.

There are also other dining options available on board including an Italian restaurant, themed dining nights (mystery dinner theater and Italian wine dinner experience), and a Johnny Rockets® fifty's-style diner. Reservations are required and there are nominal extra fees for these specialty dining options. Complimentary room service is also available 24 hours a day.

On the cruise, you can expect one formal, one smart casual, and three casual nights.

WHAT KIND OF CLOTHING TO PACK
Days onboard are casual, and you'll be most comfortable in everyday clothing and resort wear. Shoes should be low-heeled with rubber soles for strolling on the deck, and comfortable walking shoes or sandals to wear while exploring on land. Also, don't forget your swimsuit, camera, binoculars, hat, sunglasses, and sunscreen. We recommend you bring a sweater or jacket for potentially cool evenings.

For evening wear, count on three basic types of attire:

Casual: Dresses or slacks and blouses for women; sport shirts and trousers for men

Smart Casual: Dresses or pantsuits for women; jackets for men

Formal: Cocktail dresses for women; suits and ties or tuxedos for men (tuxedo rental available onboard).

GRATUITIES ABOARD SHIP
Non-suite cabin gratuities are $48.75 per person, and suite gratuities are $60.00 per person. All gratuities must be pre-paid and will be included in your final balance. This covers your stateroom steward, head waiter, waiter, and assistant waiter. An additional 15% service charge will be automatically added to your bar bill or wine check onboard when you are served.

SMOKING POLICY
Smoking is only permitted in designated outdoor areas of the ship and on private ocean view balconies of balcony/suite staterooms.

CHILDREN'S PROGRAMS/BABYSITTING
Fisher-Price® Playgroups - These interactive 45-minute playgroup sessions are for babies and toddlers ages 6-months to 3-years. These sessions were developed by early childhood experts at Fisher-Price®. Each session offers age-appropriate activities that expose children to new experiences while combining playtime with learning time. Parents must accompany their children in playgroups.

Adventure Ocean® Youth Programs - These complimentary programs of fun and educational activities are open to all children ages 3-17. Children are separated by age. You can feel confident leaving your children knowing that every member of their Adventure Ocean® staff holds a college degree in education, recreation, or a related major and have an extensive background working with large groups of children.

Babysitting is offered both in a group setting, and individually in your stateroom.

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