PRINT MAY 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 Zip
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 May 6-8, 2010


Early Bird Registration: THROUGH February 26, 2010

$495 Conference General Registration

$460 Conference Registration for Society Members

General Registration: AFTER February 26, 2010 and THROUGH April 23, 2010

$545 Conference General Registration

$510 Conference Registration for Society Members


$

Late Conference Registration: AFTER April 23, 2010:

Late Registration: $560 per person.

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

 $

GROUP RATES- $475 per person.

Early Bird Group Rate:  $450 per person (THROUGH Feb. 26, 2010)

General Group Rate: $475 per person (AFTER Feb. 26, 2010)

Five or more from one organization.

Registrations must be sent in together.		 $


$
Please register me for a Pre-Conference Workshop on Thursday, May 6.
Add $25 if not attending the conference.
(Please indicate which one)

1. Brain-Based Teaching Strategies to Engage Students' Mind and Memory
8:30 a.m. - 12:30 p.m. ($185 per person)

 $

2. The Neuropsychology of Motivation: What Research Teaches Us about Motivating Children and Adolescents
8:30 a.m. - 12:30 p.m. ($185 per person)
3. Complementary and Alternative Interventions for ADHD
8:30 a.m. - 12:30 p.m. ($185 per person)
4. Brain Anatomy 101 - An Introduction to the Brain and Neurosciences
8:30 a.m. - 12:30 p.m. ($185 per person)
5. Integrating RTI with Cognitive Neuropsychology: A Scientific Approach to Reading
8:30 a.m. - 12:30 p.m. ($185 per person)
6. Managing "The Flow" of Attention to Increase Learning
8:30 a.m. - 12:30 p.m. ($185 per person)		 $
Special Events

_____I will attend the Johns Hopkin University "Attention and Engagement in Learning" Summit in Baltimore on May 5.  I understand that I need to register with Johns Hopkins at www.education.jhu.edu/nei 		N/A
_____Please register me for the "Meeting of the Minds" reception. (Free. Thursday, May 6, at 5:15 p.m.-6:15 p.m. at the Hyatt Regency Washington on Capitol Hill) N/A

_____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? ______________________________________________________________________
  TOTAL: $


_____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 Address/Zip:
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. Earlt bird registraion is $495 per person and $460 per person for Learning & the Brain Society Members through February 26, 2010.  Registration is $545 per person and $510 for Learning & the Brain Society Members after February 26, 2010  and through April 23, 2010.  After April 23, 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 February 26, 2010 and $475 after February 26, 2010 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 April 23, 2010. No cancellations will be accepted after April 23, 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 April 23, 2010) in time to receive a refund will nonetheless incur a $150 processing fee. Cancellations prior to February 26, 2010 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.