Conference date:   Saturday, March 14, 2009
Student and Adult Registration Fee:  $5.00 (non-refundable)
Location:  Dane Hall
University
of New Mexico
Albuquerque , New Mexico

Registration Deadline for Groups of 10 or more:  March 1, 2009
Registration Deadline for Groups of less than 10: March 5, 2009
Registration Deadline for Individuals:  March 5, 2009


 
 Remember, attendance is limited and is first-come, first-served!
Registration will close without notice if capacity is reached before the deadlines.
PRE-registration IS required for both students & adults. One registration form per person (student or adult).
Registration fee (check, no cash) must accompany each registration!
No telephone, fax, or email registrations are accepted.

Confirmation will be mailed on March 12  

For further conference information contact:

current CEYH chair

Each attendee (an attendee is either a student or an adult) must fill out the appropriate form below.

Print a hardcopy and fill out by hand. Please be sure that the ENTIRE form is printed neatly!

Click Here for a PDF version

Send both the form and the registration fee (check, no cash) through the US Mail to the address listed below.

Make checks payable to: Expanding Your Horizons (EYH)
(Your check is your receipt.)

Return registration form and fee to:
CEYH c/o NMNWSE, PO box 1360, Los Alamos, NM 87544


Please indicate any special assistance or help needed, such as wheelchair access.


 

STUDENT REGISTRATION FORM

 

Please Print Carefully. Thanks!

Last Name_____________________________________________

First Name_____________________________________________

Address_______________________________________________

City__________________________________________________

Zip______________Phone________________________________

School________________________________________________

Grade (circle one):

6

7

8

9

10

11

12

Names of friends also attending______________________________

From among the workshop catagories listed, choose your top four categories of interest.
Your workshops will be assigned based your interest.

cat

First Choice____________

Second__________

Third__________

Fourth_________

 

If the $5 fee presents a financial hardship, please have your teacher sign here to recommend you for a scholarship:

 

How did you hear about the EYH Conference?_____________________________________

 Fine Print: <Registration for this conference constitutes the granting of permission for the use of your photograph in publicity for future conferences. EYH is not responsible for, and cannot supervise students who fail to attend assigned sessions and scheduled activities. >

DID THE ENTIRE FORM PRINT: FROM THE STUDENT REGISTRATION FORM TITLE TO THE Fine Print INFORMATION?

 

 

 


ADULT PROGRAM REGISTRATION FORM

Please Print Carefully. Thanks!

Last Name_____________________________________________

First Name_____________________________________________

Address_______________________________________________

City__________________________________________________

Zip______________Phone________________________________

Occupation_____________________________________________

You will select the Adult Program sessions you wish to attend the day of the conference. See Adult Program for more information.

 

Would you be willing to assist with EYH in any way next year?

Yes _____

No_____

 

 

 How did you hear about the EYH Conference?_____________________________________

Fine Print: <Registration for this conference constitutes the granting of permission for the use of your photograph in publicity for future conferences. EYH is not responsible for, and cannot supervise students who fail to attend assigned sessions and scheduled activities. >


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This page last modified on December 22, 2008 by BDavies