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Online Registration

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2016 Conference Registration

Click here to view or download a copy of the 2016 conference brochure

Your Name:

Your Email:

Name of Your Organization:

Your Address:

City, State, Zip Code:

Daytime or Best Phone:

Registrant Profile (please select all that apply):

I work primarily with:

My position is:

My program is:

First Choices Please select your first choice workshop in A, B, and C blocks:

A Block:

B Block:

C Block:

Second Choices Please select your second choices for A, B, and C block:

A Block

B Block

C Block

Third Choices Please select your third choices for A, B, and C Block:

A Block

B Block

C Block

Registration Fees
Please complete one form for each registrant. Your registration fee covers all sessions and meals listed in the program. Registrations are on a first-come, first-served basis.
Please note: In order to receive the membership discount your membership must be paid in full at the time your registration is received.

Late Registration
(if completed online or faxed on or after September 1)

**Become a Member when you register and you can register at the discounted Member Rate right away (it's a $20 discount)!Enroll online, fax, or mail the membership form along with your payment and we'll be glad to sign you up!

Discounts

Group discounts of $5 per person are available for groups of 6 or more from the same early childhood program when you register together.


Student Discounts of $15 are available for full-time students

Senior Citizen Discount of $15 are available

Armed Services Discounts of half off total fee are available

Amount Paid
Select registration fee prior to any discounts. (Select the member rate if you're a member!)

All Discounts

TOTAL AMOUNT PAID

Limited scholarships may be available to those in need. Please call 603-226-7900 to ask us about it.

Please note: registration fees are non-refundable

AFTER ENTERING ALL APPROPRIATE INFORMATION, PLEASE CLICK "SEND" BELOW.

AFTER CLICKING SEND, PLEASE FILL IN THE "DONATION" FORM BELOW AND CLICK THE "SUBMIT DONATION" BUTTON. THIS WILL PROCESS THE PAYMENT FOR YOUR CONFERENCE REGISTRATION.

Donation details

Donator details