Transforming Pedagogical Making Connections

November 10, 2012, 7:30-4:15 Across Ontario

Practices:

Charles Sturt University 860 Harrington Court, Burlington O ntario

Comfort Inn and Holiday Inn are located close by on South Service Road in Burlington

Classrooms

Registration Form: Each individual must be registered separately.

Name: Address: City:

Please print clearly.

Phone: Email: Postal Code:

**Please indicate if you have any dietary or mobility restrictions:

Registration Fee (includes continental breakfast and lunch)

CAYC or ORA member $115.00 Non-Member $145.00 Price includes a joint one year membership to the Canadian Association for Young Children (CAYC) and to the Ontario Reggio Association (ORA).
7:30 8:30 a.m. Registration and Continental

CAYC/ORA member # ______________

Session Selections Session A Session B Session C

1 st Choice

2 nd Choice

Breakfast 8:30 9:30 a.m. Keynote: Jim Grieve 9:45 11:45 p.m. Session A 11:45 1:00 p.m. Lunch 1:00 2:30 p.m. Session B 2:45 4:15 p.m. Session C

Payment
Payment in the amount of $_________________ will be paid by:

Cheque- made payable to CAYC Ontario Visa

MasterCard

I authorize London Bridge Child Care Services (on behalf of CAYC O ntario) to charge the above amount to the credit card below: Card Number:

Expiry D ate: Cardholder name (please print): Cardholder signature: __________________________________________________________ **Your confirmation will be emailed to the address on the registration form. Please indicate the name or company that the receipt should be issued to (available for pickup the day of the conference) :___________________________________________ ***NO TE: All registrations are transferable but not refundable Please email, mail, or fax your registration and payment information to: Attn: Angela Woodburn c/o London Bridge Child Care Services Inc 550 Fanshawe Park Road London, Ontario N5X 1L1 Email to awoodburn@londonbridge.com Fax: 519-432-5896 Attn: Angela Woodburn