Conference Pre-Registration Form
Deadline is Febuary 10th 2010

Name

Address

City

State

Zip

Phone Number

Email Address

Please Indicate the sessions you will be attending

-Main Conference / All Sessions

 - Family ($35.00)

 - Individual ($25.00)

-Session 1 Only (Saturday Morning)

 - Family ($18.00)

 - Individual ($13.00)

-Session 2 Only (Saturday Afternoon)

 - Family ($18.00)

 - Individual ($13.00)

-Kids Creation Club/Childcare
(by Preregistration Only no Fee)

-Nurserycare

 - Ages 0-3
Please Include Children’s Names and ages in comments area.

(Sat 9-12n & 1:15-4:45p)

-Activities

 - Ages 4-9

Please Include Children’s Names and ages in comments area.

(Sat 9-12n & 1:15-4:45p)

-Comments