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Online Registration Form

Please complete the following registration form and click "submit" at the bottom of the form. You will then be prompted to proceed to a secure payment website to complete your registration.

Annual Family Conference – Registration Form
Family Member 1
First Name:
Last Name:
Family Member 2
First Name:
Last Name:
Support Person (if applicable)
First Name:
Last Name:
Organization (if applicable):
Home Address
Address 1:
Address 2:
City:
Province/State:
Postal/Zip Code:
Contact Information
Home Phone:
Work Phone:
Cell Number:
Fax Number:
E-mail Address:	E-mail address to which confirmation should be sent.
Name on Credit Card:	If different than Family Name shown above.
Is this the first time you have attended the AACL Family Conference?	Yes No

Conference Fees Please choose one.	Attending FRIDAY Only Please choose one Friday workshop: Creating Inclusive Schools for All My Own Home	Student – $100 Individual – $150 Family – $200	$100 $150 $200	$
	Attending SATURDAY Only	Student – $100 Individual – $150 Family – $200	$100 $150 $200
	Attending BOTH DAYS Please choose one Friday workshop: Creating Inclusive Schools for All My Own Home	Individual – $225 Family – $325	$225 $325
Child and Teen Programming Fees	You must complete a Child and Teen Programming Registration form for each child or teen participating.	# of Participants 12 and under 13 and over	$20 each	$ $
Youth Forum Saturday: 10:30 am - 3 pm (Lunch Provided>	You must complete a Youth Forum Registration for each person registering. Space is limited. We will be unable to accommodate anyone who has not registered.	# of Participants aged 14 - 29 Grants available.	$15 lunch	$
President's Reception Friday: 8 pm - 10 pm (Cash Bar)	Join us for an awards ceremony to honour the extraordinary contributions that several individuals have made to the lives of children and adults with developmental disabilities. This is a casual event with oppotunity to mingle with friends new and old.	# of Participants adults other participants	no charge
Family Dance and Celebration Saturday: 6:30 pm - 12 pm (Buffet Dinner, Cash Bar)	Family Dance and Celebration tickets are included for registered family members. Extra tickets may be purchased for guests.	# of Participants registered family members additional adult tickets additional child tickets	no charge $25 each $10 each	$ $
Total Fees	Lunch is not provided. Persons attending to support another registrant are not charged registration fees.	Write down the total of your fees for the next step in the registration process.		$

AACL has a limited number of grants available to individuals and families to assist with costs associated with attending the conference. For grant criteria or forms, call 1.800.252.7556 ext. 222 or download from www.aacl.org.

Created by ploneAdmin
Last modified 2008-01-10 17:02