Special Education Council Celebrating the Challenges, 2010

October 14 - 16 at the Delta Lodge, Kananaskis, Alberta
Registration fee for Conference includes: • Thursday Evening Keynote and Wine & Cheese • Friday Morning Keynote and Saturday Keynote • Choose from 47 Breakout Sessions (Friday and 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.ca to register for this membership using the login on the blue banner)

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 addresses may block our system.

HOME BUS

(__ __ __) __ __ __ - __ __ __ __ (__ __ __) __ __ __ - __ __ __ __ (__ __ __) __ __ __ - __ __ __ __

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 $ 25.00 $

FAX
$

E-MAIL ___________________________________________

If you have questions about membership eligibility, please call the ATA, 780-447-9400 or 800-232-7208.

II. Pre-Conference Rates:
Pre-Conference Session (before Sept. 25/10) (after Sept. 25/10)
Ineligible for Specialist Council Membership * (after Sept. 25/10) $600.00

$150.00 $200.00
$450.00

The Alberta Teachers’ Association requires the information contained on this form in order to conduct the professional and business affairs of its membership and will collect, use, and disclose the personal information about you accordingly. For inquiries, objections, or concerns about how the Personal Information Protection Act applies to your personal information, please refer to our privacy policy on the Alberta Teachers’ Association website. When registering for this conference you are voluntarily providing your personal information to this council. Your information will only be used for ATA Special Education Council communication.

III.

Conference Rates:
$235.00 $285.00 $210.00 $260.00 $705.00 $855.00 $210.00 $260.00

REGISTRATION DEADLINE
The registration deadline is when capacity is reached. Register early to make sure there is room. Consult the conference website for up-to-date information about registration / capacity.

ATA Members (non-SEC members, Support Staff) (includes membership in council) (after Sept. 25/10) Special Education Council Member (after Sept 25/10) Ineligible for Specialist Council Membership * (after Sept 25/10) Group Rate (5 or more staff from the same school) (after Sept 25/10) Undergraduate student (ID number ___________) $120.00 (after Sept 25/10) $170.00

CANCELLATION POLICY
Before September 30/10 you may receive a full refund; ‘no shows’ will not receive a refund; cancellations will not be accepted after October 1/10 unless accompanied by a medical certificate; $30.00 service charge for each NSF cheque.

Note: SEC memberships are non-refundable. Confirmation of registration will be provided by e-mail only upon receipt of payment and verification of ATA Specialist Council Membership. Only one email receipt will be sent to you, please save a copy for your records. Contact Information: Hayley Christen, Conference Director

IV. YOUR TOTAL:

$

Payment for the conference must be made by money order or a cheque payable to the: Special Education Conference 2010. No credit cards can be accepted. GST # 130535321 Send your completed registration form with payment to: Sandra Erickson, Registrar SEC, 5210-61 Street Red Deer, AB. T4N 6N8

www.celebratingthechallenges.blogspot.com hchristen@rdpsd.ab.ca cell phone (403) 348–9912 (after 4:00p.m)

*Persons Not Eligible for Specialist Council Memberships

(Central office staff who did not elect active ATA membership cannot be members of specialist councils. The superintendent, deputy superintendent of school jurisdictions and teachers in charter, federal or private schools must be ATA Associate members in order to qualify for specialist council membership).

Committee Use Only Registration Form & Payment Received on: Cheque # Amount Received ATA Special Education Council Membership Fee Paid: E-mail receipt sent:

Group Rate:  Yes Paid by: Individual  Organization Conf. Registration # Receipt #

 No

Sign up to vote on this title
UsefulNot useful