last updated 2/18/2014
Beyond IQ: Greater Boston 2014
"Lessons Learned"
April 4, 5, & 6
Devens Common Center, Devens, MA
Sharing theory, practice, and questions about the needs of
HG/PG children, their families, and the professionals who work with them
HG/PG children, their families, and the professionals who work with them
Registration Form
Instructions:
You may register for Beyond IQ in one of three ways:
These rates will go up on March 28, 2014.
*IDs of Grad Sudents may be checked on the day of the conference (but don't bet on it).
** Registration of children implies acceptance of our Guidelines for Beyond IQ Children’s Sessions. Children under six may attend, but must have a parent or an adult (18 or older) with them at all times, as per the Guidelines for Young Children.
There is no fee for children under five. Children over 12 are deemed to be Young Adults.
Note: The family rate is available for families who are registering at least one adult and one YA or
child. Friday registrations are not counted toward the family rate.
If you have questions, you can reach us by email or leave a message at 978-300-5432.
*************************
General Information:
Name:
Street Address:
City: _________________State/Province: ______Postal Code: ____________
Country: ______________Phone Number: _____________Fax: ______________
Email: ______________________Institution (if any): ________________________
Total Fees: $_____.00 + Donation (optional): $______ = Total Amount Enclosed: $________
I am registering a family and would like apply the discount:
Reminder: Checks should be made payable to Gifted Conference Planners.
Attendee Information:
Number of Attendees: (You may include additional copies of the third page as needed.)
Attendee 1:
Name:
__________________________
Age group: Adult Child (Age: __)
YA/Grad Student
Email (if
different): __________________________
Institution:
Sessions Attending:
Friday Saturday Sunday
If you selected Friday, please tell us your primary
role(s):
Teacher Administrator Parent
Counselor/Therapist Fees: $______ Graduate Student
Attendee 2:
Name:
__________________________
Age group: Adult Child (Age: __)
YA/Grad Student
Email (if
different): __________________________
Institution:
Sessions Attending:
Friday Saturday Sunday
If you selected Friday, please tell us your primary
role(s):
Teacher Administrator Parent
Fees: $______ Counselor/Therapist Graduate Student
Attendee 3:
Name:
__________________________
Age group: Adult Child (Age: __)
YA/Grad Student
Email (if
different): __________________________
Institution:
Sessions Attending:
Friday Saturday Sunday
If you selected Friday, please tell us your primary
role(s):
Teacher Administrator Parent
Fees: $______ Counselor/Therapist Graduate Student
Attendee 4:
Name:
__________________________
Age group: Adult Child
(Age: __)
YA/Grad Student
Email (if
different): __________________________
Institution:
Sessions Attending:
Friday Saturday Sunday
If you selected Friday, please tell us your primary
role(s):
Teacher Administrator Parent
Counselor/Therapist Graduate Student
#prices and details subject to change without notice
You may register for Beyond IQ in one of three ways:
- Online by credit card or through your PayPal account, using our PayPal account.
- By mail – send this form along with a check payable to Gifted Conference Planners to the address below. Please fill in all relevant blanks for each attendee. If you wish to include notes or special instructions, please use a separate sheet or the back of the page. Gifted Conference Planners, c/o 7 North End Rd., Townsend, MA 01469-1124
- In person – while we prefer advance registration, walk-ins are welcome (prices will rise).
These rates will go up on March 28, 2014.
| Category | Pre-Conference Seminars# |
Weekend# |
Conference# |
||
|---|---|---|---|---|---|
| Friday (with lunch) (20% discount for Fri. Reg. if attending all 3 days) |
Two Day Registration (Sat. & Sun.) |
One Day Registration (Sat. or Sun.) |
|||
| 1st Adult | $75 | $150 |
$80 | ||
| 2nd Adult | $75 |
$120 |
$65 |
||
| 4 to 6 Adults | $300 |
XXX |
XXX |
||
| 7 or more adults | $50 each |
XXX | XXX | ||
| 1st YA/Grad Student* |
$40 |
$75 |
$40 |
||
| 2nd YA/Grad Student* |
$40 | $45 | $25 |
||
| 1st Child (5-12)** |
(Children may not
attend on Friday.) |
$75 | $40 |
||
| 2nd Child (5-12)** | XXX | $45 |
$25 |
||
| Family Rate | XXX | $350 | XXX |
*IDs of Grad Sudents may be checked on the day of the conference (but don't bet on it).
** Registration of children implies acceptance of our Guidelines for Beyond IQ Children’s Sessions. Children under six may attend, but must have a parent or an adult (18 or older) with them at all times, as per the Guidelines for Young Children.
There is no fee for children under five. Children over 12 are deemed to be Young Adults.
Note: The family rate is available for families who are registering at least one adult and one YA or
child. Friday registrations are not counted toward the family rate.
If you have questions, you can reach us by email or leave a message at 978-300-5432.
*************************
General Information:
Name:
Street Address:
City: _________________State/Province: ______Postal Code: ____________
Country: ______________Phone Number: _____________Fax: ______________
Email: ______________________Institution (if any): ________________________
Total Fees: $_____.00 + Donation (optional): $______ = Total Amount Enclosed: $________
I am registering a family and would like apply the discount:
Reminder: Checks should be made payable to Gifted Conference Planners.
Attendee Information:
Number of Attendees: (You may include additional copies of the third page as needed.)
Attendee 1:
Name:
__________________________
Age group: Adult Child (Age: __)
YA/Grad Student
Email (if
different): __________________________
Institution:
Sessions Attending:
Friday Saturday Sunday
If you selected Friday, please tell us your primary
role(s):
Teacher Administrator Parent
Counselor/Therapist Fees: $______ Graduate Student
Attendee 2:
Name:
__________________________
Age group: Adult Child (Age: __)
YA/Grad Student
Email (if
different): __________________________
Institution:
Sessions Attending:
Friday Saturday Sunday
If you selected Friday, please tell us your primary
role(s):
Teacher Administrator Parent
Fees: $______ Counselor/Therapist Graduate Student
Attendee 3:
Name:
__________________________
Age group: Adult Child (Age: __)
YA/Grad Student
Email (if
different): __________________________
Institution:
Sessions Attending:
Friday Saturday Sunday
If you selected Friday, please tell us your primary
role(s):
Teacher Administrator Parent
Fees: $______ Counselor/Therapist Graduate Student
Attendee 4:
Name:
__________________________
Age group: Adult Child
(Age: __)
YA/Grad Student
Email (if
different): __________________________
Institution:
Sessions Attending:
Friday Saturday Sunday
If you selected Friday, please tell us your primary
role(s):
Teacher Administrator Parent
Counselor/Therapist Graduate Student
#prices and details subject to change without notice
Powered by Wild Apricot. Try our all-in-one platform for easy membership management