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CtC 2010 RegistrationForm

CtC 2010 RegistrationForm

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Published by hchristen
Special Education Council 2010 Conference registration form in WORD format.
Special Education Council 2010 Conference registration form in WORD format.

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Categories:Types, Brochures
Published by: hchristen on May 13, 2010
Copyright:Attribution Non-commercial

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09/13/2010

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Registration fee for Conference includes:
Thursday Evening Keynote and Wine &Cheese
Friday Morning Keynote and Saturday Keynote
Choose from 47 Breakout Sessions (Fridayand Saturday)
Bag Lunch on Friday
(New)Registration fee for Pre-conference includes:
Thursday Pre-conference session
Continental breakfast and buffet lunch(Thursday only)
I. Membership (check one of the following options): 
I choose SEC as my automatic membership(go to www.teachers.ab.cato register for this membership using the login on the blue banner)
I am not currently a SEC member 
Please register me for a regular
membership $25.00
Please register me for a student
membership $5.00
Please register me for a subscription
membership$ 25.00If you have questions about membership eligibility, please call theATA, 780-447-9400 or 800-232-7208.
II.Pre-Conference Rates: 
Pre-Conference Session (before Sept. 25/10)$150.00
 
(after Sept. 25/10) $200.00
Ineligible for Specialist Council Membership * $450.00(after Sept. 25/10)$600.00
III.Conference Rates: 
ATA Members (non-SEC members, Support Staff) $235.00 
(includes membership in council)
(after Sept. 25/10)$285.00Special Education Council Member$210.00(after Sept 25/10) $260.00Ineligible for Specialist Council Membership *$705.00(after Sept 25/10) $855.00Group Rate (5 or more staff from the same school) $210.00(after Sept 25/10) $260.00Undergraduate student (ID number ___________)$120.00(after Sept 25/10)$170.00
IV. YOUR TOTAL:
 
$
Payment for the conference
must
be made by money order or acheque payable to the:
Special Education Conference 2010.No credit cards can be accepted.GST # 130535321Send your completed registration form with payment to:Sandra Erickson,
Registrar SEC, 5210-61 Street Red Deer, AB.T4N 6N8
*
Persons Not Eligible for Specialist Council Memberships
(Central office staff who did not elect active ATA membershipcannot be members of specialist councils. The superintendent,deputy superintendent of school jurisdictions and teachers incharter, federal or private schools must be ATA Associate membersin order to qualify for specialist council membership).
REGISTRATION INFORMATION 
NAME:
 
TEACHING CERTIFICATE #:
 
POSITION/TITLE:SCHOOL/JURISDICTION/BUS: HOME ADDRESS:
 
POSTAL CODE
:
PHONE, FAX & E-MAIL INFORMATION
Please provide your personal e-mail, as school board e-mail addressesmay block our system.
The Alberta Teachers’ Association requires the information contained on thisform in order to conduct the professional and business affairs of its membershipand will collect, use, and disclose the personal information about youaccordingly. For inquiries, objections, or concerns about how the
Personal Information Protection Act 
applies to your personal information, please refer toour privacy policy on the Alberta Teachers’ Association website. Whenregistering for this conference you are voluntarily providing your personalinformation to this council. Your information will only be used for ATA SpecialEducation Council communication.
REGISTRATION DEADLINE 
The registration deadline is when capacity is reached. Register early tomake sure there is room. Consult the conference website for up-to-dateinformation about registration / capacity.
CANCELLATION POLICY 
Before September 30/10 you may receive a full refund; ‘no shows’ will notreceive a refund; cancellations will not be accepted after October 1/10 unlessaccompanied by a medical certificate; $30.00 service charge for each NSFcheque.
Note: SEC memberships are non-refundable.
Confirmation of registration will be provided by e-mail only uponreceipt of payment and verification of ATA Specialist Council Membership. Only one email receipt will be sent to you, pleasesave a copy for your records.
Contact Information:
Hayley Christen, Conference Director www.celebratingthechallenges.blogspot.comhchristen@rdpsd.ab.cacell phone (403) 348–9912 (after 4:00p.m)
HOME
(__ __ __) __ __ __ - __ __ __ __ 
BUS
(__ __ __) __ __ __ - __ __ __ __ 
FAX
(__ __ __) __ __ __ - __ __ __ __ 
E-MAIL
 ___________________________________________ 
 
Special Education CouncilCelebrating the Challenges, 2010
October 14 - 16 at the Delta Lodge, Kananaskis, Alberta

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