On-line registration


On-Line RSVP Registration 10th ANNUAL YOUTH JUSTICE COMMITTEE CONFERENCE Empowering Youth to Lead the Future October 29-31, 2010 \| Mayfield Inn & Suites \| Edmonton, Alberta


Registration for the conference is by invitation. Please contact us if you have any questions about your invitation. Registration deadline: October 15, 2010 How to RSVP to Your Invitation You can register here on-line; print the registration form and fax it to Dorothy Morrison Fax #780.439.6879, Telephone: 780.437.8013, 800.378.3199, email: dorothy@icdr.com Download a copy of the registration form To read our Privacy Policy

ON-LINE RSVP REGISTRATION

Use the **TAB** key to move down from box to box. Use your mouse to move around the form.
PARTICIPANT CONTACT INFORMATION: (information to be used on your name tag)
First Name
Last Name
Title
Email address
YJC/Organization
Street
City/Town
Province
Postal code
Phone
Fax


Accommodation Accommodation is reserved for out-of-town delegates only. Yes No If you selected "Yes", We will book your hotel room for 2 nights Friday, October 29, 2010 and Saturday, October 30, 2010 Sharing Hotel Rooms Would you be willing to share a hotel room with another delegate? If yes, Please provide the name of the delegate. Yes No Meals Please indicate which meals you will be attending. Meals are pre-arranged two weeks prior to the conference. We encourage all delegates to participate in meals, entertainment and the entire conference. Friday Reception Saturday Breakfast Saturday Lunch Saturday Dinner & Social Sunday Brunch TRAVEL: PARK & RIDE Pre-registration for the bus is required. Please note: Where the charter bus service is provided in your area and/or is a reasonable distance from your home or work, and if you choose to drive to and from Calgary, mileage reimbursement may not be provided. . Yes No Please indicate which location you will travel to and from Calgary at 1:45pm Departure Location: Radisson Hotel, 2120-16 Avenue, NE, Calgary Red Deer 3:00 pm Departure Location: Greyhound Depot, 4303 Gaetz Avenue, Red Deer Bus departs Edmonton on Sunday, October 31st at 12:45pm, with a stop in Red Deer
SPECIAL REQUESTS Please let us know if you have any special requests, which we may need to know in order to make this a successful event for you. (for example: special diet, wheelchair access or hearing assistance).

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