Last updated: 07/01/09
Home | Midwest Beyond IQ | Program | Young Adults | Registration Payments | Mail
You can register for Beyond IQ in three ways:
Please print this form and bring it with you, even if you have mailed a copy in.
To use a credit card, click here.
Name |
|||
Street Address |
|||
Street Address |
|||
City |
|||
State/Province |
Zip/Postal Code |
||
Country |
|
|
|
Phone Number |
Fax Number |
||
|
|
|
|
Institution (if any, for badge) |
|
|
category |
Pre-Conference (Friday) |
Conference |
One Day Only |
1st Adult |
$25 |
$50 |
$30 |
2nd Adult |
$20 |
$40 |
$20 |
YA/Grad Student |
$15 |
$30 |
$20 |
1st Child |
N/A |
$30 |
$20 |
Additional Children (each) |
N/A |
$25 |
$15 |
.
Registration type |
Family Parent College or Grad Student Teacher Administrator Counselor/Therapist Presenter Presenter w/Family |
Number in party: |
|
Age(s) of Child(ren): |
For children too young to participate in the children's programming, click here.
Post-secondary Student at: |
(if applicable) |
If you are registering as a Post-secondary Student, give your institution and be prepared to show a student ID when you pick up your registration material.
TOTAL FOR CONFERENCE REGISTRATION: |
|
Friday Workshops: |
Teacher Administrator Counselor/Therapist Combination |
If you are paying with a credit card, click here.
If you are paying by check, make it payable to:
Gifted Conference Planners
c/o 7 North End Rd.
Townsend, MA 01469-1124
Click here to clear the form and start over: <INPUT TYPE="reset">