PRINT FEB. 2010 CONFERENCE REGISTRATION FORM

Five ways to register:

Phone: 781-449-4010 ext. 101
Fax: 781-449-4024
Email: registration@learningandthebrain.com
Mail: PIRI, 35 Highland Circle, First Floor Needham, MA 02494-3099
Online: www.LearningAndTheBrain.com

PLEASE PHOTOCOPY THIS FORM FOR EACH APPLICANT.

If you experience problems printing this form, download the pdf version here.

Name
Position
Organization
Address
City
State/Province
Zip
Country
Phone
Fax
Email

Demand is high and space is limited. Please register early to assure yourself a place.

Please register me for the conference.

Conference Registration for Feb. 18-20, 2010

$495 Conference General Registration

$460 Conference Registration for Society Members

General Registration: AFTER November 30, 2009 and THROUGH January 29, 2010

$545 Conference General Registration

$510 Conference Registration for Society Members


Late Conference Registration: AFTER Jan. 29, 2010:

Late Registration: $560 per person.

Late Registration for L&B Society members: $525 per person

GROUP RATES- $475 per person.

General Group Rate: $475 per person (AFTER Nov. 30, 2009)

Five or more from one organization.

Registrations must be sent in together.

DUAL CONFERENCE RATES- $475 per conference.

Register for Feb. and May conference and save. Discount ends on Jan. 29, 2010.
Please register me for a Pre-Conference Workshop on Wednesday, Feb. 17.
Add $25 if not attending the conference.
(Please indicate which one)
1. Brain Matters: Translating Research to Classroom Practice
(Full Day) 10:00 AM - 4:30 PM
Cost: $250 per person
2. Making Math Real: The Prescription for Building Working Memory and Executive Function through Multisensory Structured Methodologies in K-12
(Full Day) 10:00 AM - 4:30 PM
Cost: $250 per person
3. The Neuroscience and Strategies for Maximizing Students' Long-term Memory, Information Retrieval, and Transfer and the Role of Neuroplasticity
(Full Day) 10:00 AM - 4:30 PM
Cost: $250 per person
4. Raising, Educating and Nurturing Self-Discipline in Children
(Half Day) 1:00 PM - 5:00 PM Cost: $185 per person
5. Teaching Brain Fitness in Your School or Community for Lifelong Learning
(Half Day) 1:00 PM - 5:00 PM
Cost: $185 per person (plus $15 material fee for book, The SharpBrains Guide to Brain Fitness)
6. Brain Anatomy 101: An Introduction to the Brain & Neuroscience (Beginners)
(Half Day) 1:00 PM - 5:00 PM
Cost: $185 per person

Please register me for a Post-Conference Workshop on
Saturday, Feb. 20.
Add $25 if not attending the conference.
(Please indicate which one)
1. Closing the Achievement Gap: Simple Strategies that Work
1:15 PM - 4:30 PM
Cost: $175
2. The Roles of Executive Functions in Intelligence
1:15 PM - 4:30 PM
Cost: $175
3. The Influences of Socioeconomics, Environment and Genes in Learning Differences
1:15 PM - 4:30 PM
Cost: $175
4. Magical Memory: How to Teach so Students Actually Learn
1:15 PM - 4:30 PM
Cost: $175
Special Events

_____Please register me for the "Meeting of the Minds" reception. (Free. Thursday, Feb. 18, at 5:30 p.m.-6:30 p.m. at the The Fairmont Hotel, San Francisco.)

_____Please check here if you would like professional development credits. ($5 charge for paper certificate copy for postage/shipping/handling). FREE if certificate is sent electronically. Please send ___By mail ($5) ___By email

_____Please check here if you plan to submit a poster session for the Feb. conference.

_____Please check here if you have attended the Learning & the Brain conferences before.

How did you hear about the conference? ______________________________________________________________________
 


_____Please check here if you have any special ADA requirements, and call 781-449-4010 ext. 101.

The Fairmont Hotel, San Francisco is ADA compliant.
Choose your method of payment (check one)
_____Check enclosed _____Purchase order enclosed
Make check or purchase order payable to Public Information Resources, Inc., and mail it along with your registration form to: Learning & the Brain, Public Information Resources, Inc., 35 Highland Circle, First Floor Needham, MA 02494-3099. P.O.s will be invoiced if sent without check. Registrations without payment or purchase order will not be confirmed.

_____Charge registration(s) to my credit card: ______VISA ______MasterCard _______AmEx
Card Number:
Exp. Date:
Cardholder Name:

Cardholder Billing Street Address:
City:
State/Province:
Zip Code:
Country:
Cardholder Signature:

REGISTRATION POLICIES

Registrations are taken and confirmed, on a first-come, first-served basis according to receipt of full payment or purchase order. Unpaid registrations without a purchase order will be cancelled after 30 days. If you do not receive a confirmation within three weeks after sending full payment or purchase order, call 781-449-4010. Registration is $545 per person and $510 for Learning & the Brain Society Members after November 30, 2009  and through January 29, 2010.  After Jan. 29, 2010, late registration is $560 per person or $525 for Society members. A $35 administrative fee will be added for on-site registration at the conference. Groups of five or more may register at $450 per person by November 30, 2009 and $475 after November 30, 2009 if registering together by with payment or purchase order.

 

SUBSTITUTIONS, CANCELLATIONS AND WAIT LIST

Substitutions are permissible up to seven days before the conference, but you must notify PIRI in writing by fax or mail. Cancellations must be requested no later than Jan. 29, 2010. No cancellations will be accepted after Jan. 29, 2010. Because cancellations incur substantial administrative costs, we regret that it is necessary to charge a cancellation fee of $150 per person. Registrants who cancel (through Jan. 29, 2010) in time to receive a refund will nonetheless incur a $150 processing fee. Cancellations prior to November 30, 2009 will incur a $50 processing fee. Cancellations must be sent in writing to PIRI at 35 Highland Circle, First Floor Needham, MA 02494-3099. or faxed to PIRI at 781-449-4024.

CONFERENCE PROGRAM CHANGES

Public Information Resources, Inc. (PIRI) reserves the right, without having to refund any monies to participants, to make changes in the conference, its program, schedule, location, and/or faculty should PIRI, in its sole discretion, deem any such changes necessary or advisable. Similarly, PIRI further reserves the right to cancel any sessions, events, workshops, credit courses, or the conference, entirely, in which case PIRI's liability to participants shall be strictly limited to a refund of those fees.