Special Education Council

Celebrating the Challenges, 2010

October 14 - 16 at the Delta Lodge, Kananaskis, Alberta

Registration fee for Conference includes: REGISTRATION INFORMATION

 Thursday Evening Keynote and Wine & Cheese
 Friday Morning Keynote and Saturday Keynote NAME:
 Choose from 47 Breakout Sessions (Friday and Saturday) TEACHING CERTIFICATE #:
 Bag Lunch on Friday (New)
POSITION/TITLE:
Registration fee for Pre-conference includes: SCHOOL/JURISDICTION/BUS:
 Thursday Pre-conference session
 Continental breakfast and buffet lunch (Thursday only) HOME ADDRESS:

I. Membership (check one of the following options):

I choose SEC as my automatic membership POSTAL CODE:
(go to www.teachers.ab.ca to register for this membership using
the login on the blue banner) PHONE, FAX & E-MAIL INFORMATION
Please provide your personal e-mail, as school board e-mail addresses
I am not currently a SEC member may block our system.

Please register me for a regular membership $ 25.00

HOME (__ __ __) __ __ __ - __ __ __ __
Please register me for a student membership $ 5.00

Please register me for a subscription membership $ 25.00

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

If you have questions about membership eligibility, please call the

FAX (__ __ __) __ __ __ - __ __ __ __
ATA, 780-447-9400 or 800-232-7208.
E-MAIL ___________________________________________
II. Pre-Conference Rates:
Pre-Conference Session (before Sept. 25/10) $150.00
The Alberta Teachers’ Association requires the information contained on this
(after Sept. 25/10) $200.00
form in order to conduct the professional and business affairs of its membership
Ineligible for Specialist Council Membership * $450.00 and will collect, use, and disclose the personal information about you
(after Sept. 25/10) $600.00 accordingly. For inquiries, objections, or concerns about how the Personal
III. Conference Rates: Information Protection Act applies to your personal information, please refer to
ATA Members (non-SEC members, Support Staff) $235.00 our privacy policy on the Alberta Teachers’ Association website. When
(includes membership in council) registering for this conference you are voluntarily providing your personal
(after Sept. 25/10) $285.00 information to this council. Your information will only be used for ATA Special
Education Council communication.
Special Education Council Member $210.00
(after Sept 25/10) $260.00 REGISTRATION DEADLINE
Ineligible for Specialist Council Membership * $705.00 The registration deadline is when capacity is reached. Register early to
(after Sept 25/10) $855.00 make sure there is room. Consult the conference website for up-to-date
Group Rate (5 or more staff from the same school) $210.00 information about registration / capacity.
(after Sept 25/10) $260.00
Undergraduate student (ID number ___________) $120.00 CANCELLATION POLICY
(after Sept 25/10) $170.00 Before September 30/10 you may receive a full refund; ‘no shows’ will not
IV. YOUR TOTAL: $ 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
Payment for the conference must be made by money order or a cheque.
cheque payable to the: Special Education Conference 2010.
No credit cards can be accepted. Note: SEC memberships are non-refundable.
GST # 130535321
Confirmation of registration will be provided by e-mail only upon
Send your completed registration form with payment to: receipt of payment and verification of ATA Specialist Council
Sandra Erickson, Registrar SEC, 5210-61 Street Red Deer, AB. Membership. Only one email receipt will be sent to you, please
T4N 6N8
save a copy for your records.
*Persons Not Eligible for Specialist Council Memberships
(Central office staff who did not elect active ATA membership
Contact Information: Hayley Christen, Conference Director
cannot be members of specialist councils. The superintendent,
deputy superintendent of school jurisdictions and teachers in www.celebratingthechallenges.blogspot.com
charter, federal or private schools must be ATA Associate members hchristen@rdpsd.ab.ca
in order to qualify for specialist council membership). cell phone (403) 348–9912 (after 4:00p.m)

Committee Use Only

Registration Form & Payment Received on: Group Rate:  Yes  No
Cheque # Amount Received Paid by: Individual  Organization
ATA Special Education Council Membership Fee Paid: Conf. Registration #
E-mail receipt sent: Receipt #