Registration

First name
Last name
Address
City
Province
Postal Code
Home phone
Cell
Email

Child(ren):
Name:	Age: (as of 10/27/11)
Name:	Age: (as of 10/27/11)
Name:	Age: (as of 10/27/11)
Name:	Age: (as of 10/27/11)

Conference cost before October 9

Adult registration $110/person	Qty:
Student rate (must be in full time school) $75/person	Qty:
Senior rate (65+) $50/person	Qty:

 

Conference cost after October 9

Adult registration $150/person	Qty:
Student rate (must be in full time school) $100/person	Qty:
Senior rate (65+) $75/person	Qty:
Childcare* $30/child	Qty:

Register Now