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National Conference Child and Youth Registration Form

TOURETTE SYNDROME+

Edmonton, Alberta
September 29th – October 1st 2016

 

PLEASE READ CAREFULLY

The deadline to register is September 16th.

At least one parent/guardian MUST be registered and on site in the hotel during the conference programming in order for a child/youth to attend this event.

All young people (including siblings) are welcome to attend. After registration, you will be sent an intake form, respective waivers, details about the programming, and what to bring. Please ensure your email address is noted on your registration form.

Registration fees for both the children’s and youth programs include the Saturday evening banquet. A special youth meal ticket is available for purchase at $30 per person.

For a full-course dinner, the same fee will apply as indicated on the registration form described as Additional Banquet Ticket ($75.00) if youth is registered for only ONE DAY. All other activities, meals, snacks and refreshments are included in the child/youth fees.

Children and Youth rates are subsidized, therefore there is no early bird discount.

Intake, medical and minor release forms must be completed and submitted before Children and Youth registrations are confirmed.

The Youth Program is for ages 14-18.
The Children’s Program is for ages 5-13.
If you would like to register someone for one of these programs but they do not fall into the age range, please contact us: 1-800-361-3120

Youth over the age of 18 may choose to register for the full conference program (at the full conference rate) if they do not wish to participate in the youth program.

Please do not fill in the fee section of this form if you are getting the Full Family Package.

Children must attend both days. Youth may attend one day only.

REMEMBER: The deadline to register children and youth is September 16th, 2016

 


    BASIC INFO

    ChildYouth

    Name

    Age

    Dietary Allergies/Needs

    (we are unable to accommodate food preferences)


    ChildYouth

    Name

    Age

    Dietary Allergies/Needs

    (we are unable to accommodate food preferences)

    ChildYouth

    Name

    Age

    Dietary Allergies/Needs

    (we are unable to accommodate food preferences)


    ChildYouth

    Name

    Age

    Dietary Allergies/Needs

    (we are unable to accommodate food preferences)


    METHOD OF PAYMENT

    Please charge to my:
    VisaMasterCardAmex

    Credit Card Number

    Expiry Date

    3 Digit Security Code

    Cardholder’s Name

    Total number of children registrations:
    TC member: x $240
    Non-member: x $275


    Total number of youth registrations:
    TC member: x $120* per day x day(s)

    Non-member: x $140* per day x day(s)

    Banquet Meal: x $75 (For 1 Day Registration)

    One day Registration (youth)
    The above youth will attend onFri. Sep. 30thSat. Oct. 1st


    TOTAL CHILDREN/YOUTH FEES

    Please copy the above amount to your general registration form.

    My child(ren) or youth will attend the Child or Youth Meet & Greet on Thursday, September 29th, 2016.